Individual provider Active NPI

Catherine Rabalais

  • Family Nurse Practitioner
  • Garden Grove, CA
National Provider Identifier
1346960168
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95027823 Issued in CA
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

Updated by the provider on Feb 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
95027823CAMDFamily Nurse Practitioner
227185LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sweidan, Sohl & Emamian Medical Group, Inc. PastSince Sep 12, 2021 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.

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.

Verify at the official NPI Registry.