Active NPI
Madhu K Katakia, MD
- Neurology Physician
- Tustin, CA
National Provider Identifier
1396880969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- A24640
- Practice address
- 18062 Irvine Blvd
200
Tustin, CA 92780 - Phone
- (714) 505-6030
- Fax
- (714) 505-6032
- NPI assigned
- Feb 21, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | A24640 | CA | Primary |
Addresses
Primary practice location
18062 Irvine Blvd
200
Tustin, CA 92780
Mailing address
3222 E Abbey LN
Orange, CA 92867
Phone (714) 501-5807
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A24640 | CA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madhu Katakia MD Inc | Current | 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": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396880969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3222 E ABBEY LN",
"city": "ORANGE",
"state": "CA",
"postal_code": "92867",
"telephone_number": "714-501-5807",
"fax_number": "714-921-8828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18062 IRVINE BLVD",
"address_2": "200",
"city": "TUSTIN",
"state": "CA",
"postal_code": "92780",
"telephone_number": "714-505-6030",
"fax_number": "714-505-6032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATAKIA",
"first_name": "MADHU",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "A24640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.