Active NPI
Katherine Ohanlan, M.D.
- Gynecologic Oncology Physician
- Portola Valley, CA
National Provider Identifier
1467486407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- G70108
- Practice address
- 4370 Alpine Rd
Suite 104
Portola Valley, CA 94028-7952 - Phone
- (650) 851-6669
- Fax
- (650) 851-9747
- NPI assigned
- Jul 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | G70108 | CA | Primary |
Addresses
Primary practice location
4370 Alpine Rd
Suite 104
Portola Valley, CA 94028-7952
Mailing address
351 Hospital Rd
Suite 507
Newport Beach, CA 92663-3509
Phone (949) 642-1361
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70108 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364342400000",
"number": "1467486407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "351 HOSPITAL RD",
"address_2": "SUITE 507",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633509",
"telephone_number": "949-642-1361",
"fax_number": "949-642-1608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4370 ALPINE RD",
"address_2": "SUITE 104",
"city": "PORTOLA VALLEY",
"state": "CA",
"postal_code": "940287952",
"telephone_number": "650-851-6669",
"fax_number": "650-851-9747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OHANLAN",
"first_name": "KATHERINE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-10",
"last_updated": "2013-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "CA",
"license": "G70108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portola Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.