Kate Rachelle Ford, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA60564 Issued in CA

Practice address

340 Dardanelli LN Ste 10
Los Gatos, CA 95032-1418

Phone

(408) 412-8100

Fax

(408) 412-8499

NPI assigned

Jan 31, 2022

Last updated

Jan 31, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kate.ford.p2@direct.muirortho.nextgenshare.com
• Direct secure messaging: kford167697@icare.elcaminohospital.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Golden State Orthopedics & Spine

  • Orthopaedic Surgery Physician
  • Walnut Creek, CA
  • NPI 1972552990
  Medicare reassignment
• Golden State Orthopedics & Spine

  • Orthopedic Physical Therapist
  • Campbell, CA
  • NPI 1003512740

  Multi-Specialty

  NPD
• Golden State Orthopedics & Spine

  • Orthopaedic Surgery Physician
  • San Jose, CA
  • NPI 1245021401

  Multi-Specialty

  NPD
• California Sports Physical Therapy Centers Inc

  dba Albany Physical Therapy

  • Physical Therapist
  • Albany, CA
  • NPI 1891472965

  Multi-Specialty

  NPD (past)
• El Camino Health Medical Network, LLC

  • Multi-Specialty Clinic/Center
  • San Jose, CA
  • NPI 1164880761
  NPD (past)
• Golden State Orthopedics & Spine

  • Orthopaedic Surgery Physician
  • San Francisco, CA
  • NPI 1457004897

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1467105346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 DARDANELLI LN STE 10",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 DARDANELLI LN STE 10",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321418",
            "telephone_number": "408-412-8100",
            "fax_number": "408-412-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "KATE",
        "middle_name": "RACHELLE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA60564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael A Follmar, D.D.S.
• Troy Scott Follmar, DDS
• April Fontana
• For Women by Women a Medical Group a Professional Corporation
• Justine Strolis Forbes, MD
• Forefront Dermatology - Pacific, P.C. (Kalia Dermatology & Laser Center, A Forefront Dermatology Practice)
• Forrest Health and Chiropractors
• Hailey Vananh Fortener
• Hannah Fortner
• Cody Fowler, D.C.

• Physician Assistant in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.