Katherine V Egan

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

95001772 Issued in CA

Practice address

26250 Cactus Ave
Moreno Valley, CA 92555

Phone

(339) 788-7270

NPI assigned

Jun 30, 2022

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, MA2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Loma Linda University School of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Matrix Anesthesia PCGroup PAC ID 8820136377, 52 clinicians

South Suburban Gastroenterology PCGroup PAC ID 9931194412, 50 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Signature Healthcare Brockton Hospital Hospital, Brockton, MA, CCN 220052

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

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.

• Matrix Anesthesia, PC

  • Anesthesiology Physician
  • Brockton, MA
  • NPI 1700028032
  Medicare reassignment Care Compare group NPD
• South Suburban Gastroenterology, PC

  • Gastroenterology Physician
  • South Weymouth, MA
  • NPI 1114948478
  Medicare reassignment Care Compare group NPD
• Faculty Physicians and Surgeons of Llusm

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Apple Valley, CA
  • NPI 1205009917
  Medicare reassignment NPD
• Mission Nursing Anesthesia, Inc

  • Certified Registered Nurse Anesthetist
  • Rancho Mirage, CA
  • NPI 1932571551
  Medicare reassignment NPD
• Brigham & Womens Physicians Organization Inc

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1033535497

  Anesthesiology

  Medicare reassignment NPD
• Gbaa Holdings, PLLC

  • Anesthesiology Physician
  • Acton, MA
  • NPI 1790299592
  Medicare reassignment NPD
• Icon Anesthesia Services of New England LLC

  • Anesthesiology Physician
  • Middleton, MA
  • NPI 1629583323
  Medicare reassignment NPD
• Mass General Brigham Medical Group, Inc.

  • Internal Medicine Physician
  • Salem, NH
  • NPI 1083360200

  Anesthesiology, MA

  Medicare reassignment NPD
• Faculty Physicians and Surgeons of Llusm

  • Family Medicine Physician
  • Moreno Valley, CA
  • NPI 1558788331

  Anesthesiology

  NPD
• Faculty Physicians and Surgeons of Llusm

  • Radiation Oncology Physician
  • San Bernardino, CA
  • NPI 1588273148
  NPD
• Weymouth Endoscopy, LLC

  • Endoscopy Clinic/Center
  • South Weymouth, MA
  • NPI 1033199906
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Brockton Hospital, Inc.

  • General Acute Care Hospital
  • Brockton, MA
  • NPI 1063431286
  Care Compare affiliation

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1497487185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 SUNNYWOOD DR",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928351855",
            "telephone_number": "339-788-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26250 CACTUS AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "92555",
            "telephone_number": "339-788-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGAN",
        "first_name": "KATHERINE",
        "middle_name": "V",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "95001772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doris J Dweh, ED.D
• Julieta Yanira Echeverria, DDS
• Eco Optometry, Inc
• Edward Medical Supplies, Inc.
• Karen M. Edwards
• Siamak Ehteshamzadeh, PSYD
• Allan Concepcion Elarmo, NP
• Rosalyn Roncesvalles Elarmo, FNP-C
• Elias, Elliott, Lampasi, Fehn, & Harris Adp
• Elijah'S Open Arms Foundation

• Anesthesiology Physician in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.