Active NPI
Catherine Rabalais
- Family Nurse Practitioner
- Garden Grove, CA
National Provider Identifier
1346960168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95027823
- Practice address
- 12665 Garden Grove Blvd Ste 713
Garden Grove, CA 92843-1921 - Phone
- (714) 537-6595
- NPI assigned
- Aug 31, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 227185 | LA | |
| Family Nurse Practitioner | 363LF0000X | 95027823 | CA | Primary |
Addresses
Primary practice location
12665 Garden Grove Blvd Ste 713
Garden Grove, CA 92843-1921
Mailing address
12665 Garden Grove Blvd Ste 713
Garden Grove, CA 92843-1921
Other practice location 1
10130 Crossing Way Ste 335
Denham Springs, LA 70726-5889
Phone (225) 667-2777
Other practice location 2
1022 Long Beach Blvd
Long Beach, CA 90813-3221
Phone (562) 513-3135
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95027823 | CA | MD | Family Nurse Practitioner |
| 227185 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sweidan, Sohl & Emamian Medical Group, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Long Beach, CA
- NPI 1831470947
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1346960168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12665 GARDEN GROVE BLVD STE 713",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928431921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12665 GARDEN GROVE BLVD STE 713",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928431921",
"telephone_number": "714-537-6595"
}
],
"practiceLocations": [
{
"address_1": "10130 Crossing Way Ste 335",
"address_purpose": "LOCATION",
"city": "Denham Springs",
"state": "LA",
"postal_code": "707265889",
"country_code": "US",
"telephone_number": "225-667-2777",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1022 Long Beach Blvd",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908133221",
"country_code": "US",
"telephone_number": "562-513-3135",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RABALAIS",
"first_name": "CATHERINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-31",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "227185",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95027823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.