Katherine Macbarron

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

57022 Issued in CA

Practice address

1101 Bayside Dr
Corona del Mar, CA 92625-1702

Phone

(949) 718-6900

NPI assigned

Jun 23, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1529712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1477048304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 BAYSIDE DR STE 200",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926251709",
            "telephone_number": "949-718-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 BAYSIDE DR",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926251702",
            "telephone_number": "949-718-6900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Glades Rd Ste 305",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334317348",
            "country_code": "US",
            "telephone_number": "714-313-5580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACBARRON",
        "first_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9110999",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "57022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Leichtberg, M.D.
• Cicera Lisboa de Melo
• Sarah Lockwood, AGACNP-BC
• Therese Marie Loutherback, M.ED.
• Dorothy Irene Lucchesi, PHYSICAL THERAPIST
• Madeline L Miller MD a Medical Corporation
• Melissa Magdangal, OTR/L
• Angie Elizabeth Maldonado
• Barbara L Mallonee, D.D.S.
• Pamela Mangus, PHARM D.

• Physician Assistant in Corona del Mar, CA
• Providers in Corona del Mar, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.