Kathryn Rigonan MD Inc a Professional Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A51220 Issued in CA

Legal business name

KATHRYN RIGONAN MD INC A PROFESSIONAL CORPORATION

Doing business as

A Professional Corporation

Practice address

11100 Warner Ave
Suite 154
Fountain Valley, CA 92708-7506

Phone

(714) 754-0100

Fax

(714) 754-6806

NPI assigned

Feb 24, 2009

Last updated

Jun 8, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

KATHRYN RIGONAN MDAs reported in NPPES

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

Authorized official

Name

Dr. Kathryn Rubio Rigonan, M.D.NPI 1336234210

Title

President

Phone

(714) 754-0100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• A Professional Corporation Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Part of

Kathryn Rigonan MD Inc

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathryn Rubio Rigonan, MD

  • Internal Medicine Physician
  • Fountain Valley, CA
  • NPI 1336234210
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275955200000",
    "number": "1356581847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 WARNER AVE",
            "address_2": "SUITE 154",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087506",
            "telephone_number": "714-754-0100",
            "fax_number": "714-754-6806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 WARNER AVE",
            "address_2": "SUITE 154",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087506",
            "telephone_number": "714-754-0100",
            "fax_number": "714-754-6806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHRYN RIGONAN MD INC A PROFESSIONAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KATHRYN RIGONAN MD",
        "enumeration_date": "2009-02-24",
        "last_updated": "2010-06-08",
        "status": "A",
        "authorized_official_last_name": "RIGONAN",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "RUBIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-754-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A51220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1336234210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Professional Corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.