Individual provider Active NPI

Sarah Nicole Katz, AGPCNP

  • Primary Care Nurse Practitioner
  • Indian Wells, CA
National Provider Identifier
1528672052
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95015330 Issued in CA
Practice address
74785 US Highway 111 Ste 101
Indian Wells, CA 92210-7129
Phone
(760) 322-8883
NPI assigned
Sep 2, 2020
Last updated
Nov 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 95015330 CA Primary

Addresses

Primary practice location

74785 US Highway 111 Ste 101
Indian Wells, CA 92210-7129

Mailing address

74785 US Highway 111 Ste 101
Indian Wells, CA 92210-7129
Phone (760) 322-8883

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220322002973 CA Practitioner - Nurse Practitioner 6901291327 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95015330CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Halo Medical Group CurrentSince Sep 9, 2024 Accepting new patients
Omid S. Shaye, M.D., a Medical Corporation Current Accepting new patients
HMG Urology PC Past Accepting new patients

Locations

74785 US Highway 111
Ste 101
Indian Wells, CA 92210
Phone (760) 346-4329

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1528672052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74785 US HIGHWAY 111 STE 101",
            "city": "INDIAN WELLS",
            "state": "CA",
            "postal_code": "922107129",
            "telephone_number": "760-322-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74785 US HIGHWAY 111 STE 101",
            "city": "INDIAN WELLS",
            "state": "CA",
            "postal_code": "922107129",
            "telephone_number": "760-322-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZ",
        "first_name": "SARAH",
        "middle_name": "NICOLE",
        "credential": "AGPCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95015330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Wells, CA

Sources for this page

Verify at the official NPI Registry.