Individual provider Active NPI

Catherine Celeste Harris, PA-C

  • Medical Physician Assistant
  • Covina, CA
National Provider Identifier
1447360979
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA19280 Issued in CA
Practice address
440 N Barranca Ave # 2248
Covina, CA 91723-1722
Phone
(206) 774-0138
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA19280 CA Primary

Addresses

Primary practice location

440 N Barranca Ave # 2248
Covina, CA 91723-1722

Mailing address

440 N Barranca Ave # 2248
Covina, CA 91723-1722
Phone (206) 235-2056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA19280CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Camarena Health CurrentSince Dec 21, 2022 Accepting new patients
Camarena Health CurrentSince Dec 21, 2022 Accepting new patients

Locations

49169 Road 426
Oakhurst, CA 93644
Phone (559) 642-6724

Interoperability endpoints

  • Direct secure messaging: charris191294@direct.renown.org
  • Direct secure messaging: catherine.harrispa.p3@direct.livingstoncommunity.nextgenshare.com

Organizations & group practices 2

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1447360979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N BARRANCA AVE # 2248",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231722",
            "telephone_number": "206-235-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 N BARRANCA AVE # 2248",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231722",
            "telephone_number": "206-774-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "CATHERINE",
        "middle_name": "CELESTE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA19280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

Verify at the official NPI Registry.