Individual provider Active NPI

Kathy Palatnik

  • Surgery Physician
  • El Segundo, CA
National Provider Identifier
1467767939
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A120567 Issued in CA
Practice address
222 N Pacific Coast Hwy Ste 2175
El Segundo, CA 90245-5639
Phone
(877) 878-3289
Fax
(877) 817-3227
NPI assigned
Aug 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A120567 CA Primary

Addresses

Primary practice location

222 N Pacific Coast Hwy Ste 2175
El Segundo, CA 90245-5639

Mailing address

222 N Pacific Coast Hwy Ste 2175
El Segundo, CA 90245-5639
Phone (877) 878-3289

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150123000725 CA Practitioner - General Surgery 2163746009 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of California, Geffen School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert Marriott Medical CorpGroup PAC ID 2567531494, 63 clinicians

Practice addresses (Care Compare)

120 Bellefontaine St
Pasadena, CA 91105-3102
Phone (626) 793-5114

1321 Franklin St
Santa Monica, CA 90404-2603
Phone (310) 828-5596

150 Bellefontaine St
Pasadena, CA 91105-3102
Phone (626) 793-1103

19191 Harvard Ave
Irvine, CA 92612-4670
Phone (949) 854-9500

222 N Pacific Coast Hwy
Suite 1420
El Segundo, CA 90245-5648
Phone (877) 878-3289

3557 Campus Dr
Thousand Oaks, CA 91360-2744
Phone (805) 241-7000

5225 S J St
Oxnard, CA 93033-8320
Phone (805) 488-3696

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue3144
Removal of skin lesions130
Removal of nail tissue1-10
Removal or shaving of skin growth190
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A120567CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baromedical Physician Associates Medical Group CurrentSince Dec 1, 2020 Accepting new patients
Robert Marriott Medical Corp Surgery CurrentSince Nov 1, 2014 Accepting new patients

Locations

222 N Pacific Coast Hwy
Ste 2175
El Segundo, CA 90245
Phone (877) 850-8762

222 N Pacific Coast Hwy
Ste 1420
El Segundo, CA 90245

11926 La Mirada Blvd
La Mirada, CA 90638
Phone (562) 943-7156

5750 Downey Ave
Ste 100
Lakewood, CA 90712
Phone (562) 630-3105

1428 W North Ave
Lompoc, CA 93436
Phone (805) 735-4010

2278 Nice Ave
Mentone, CA 92359
Phone (909) 204-5000

1000 Executive Pkwy
Oroville, CA 95966
Phone (530) 533-7335

5225 S J St
Oxnard, CA 93033
Phone (805) 488-3696

751 San Pedro Terrace Rd
Pacifica, CA 94044
Phone (650) 359-4800

150 Bellefontaine St
Pasadena, CA 91105
Phone (626) 793-1103

2225 N Perris Blvd
Perris, CA 92571
Phone (951) 657-2135

2900 Stoneridge Dr
Pleasanton, CA 94588
Phone (925) 201-4000

2120 Stockton Blvd
Sacramento, CA 95817
Phone (916) 452-6631

900 Mountain Ranch Rd
San Andreas, CA 95249
Phone (209) 419-0956

2580 Samaritan Dr
San Jose, CA 95124
Phone (408) 356-7002

720 N Tustin Ave
Ste 100
Santa Ana, CA 92705
Phone (714) 973-8777

2990 Soquel Ave
Santa Cruz, CA 95062
Phone (831) 479-6950

1321 Franklin St
Santa Monica, CA 90404
Phone (310) 828-5596

501 Petaluma Ave
Sebastopol, CA 95472
Phone (707) 823-8511

4525 W Tulare Ave
Visalia, CA 93277
Phone (559) 299-2591

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1281312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1467767939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N PACIFIC COAST HWY STE 2175",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902455639",
            "telephone_number": "877-878-3289",
            "fax_number": "877-817-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N PACIFIC COAST HWY STE 2175",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902455639",
            "telephone_number": "877-878-3289",
            "fax_number": "877-817-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALATNIK",
        "first_name": "KATHY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-09",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A120567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Segundo, CA

Sources for this page

Verify at the official NPI Registry.