Active NPI
Catherine Loomis, PA-C
- Physician Assistant
- Ladera Ranch, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA57943
- Practice address
- 27522 Antonio Pkwy Ste P3
Ladera Ranch, CA 92694-2166 - Phone
- (949) 267-3141
- NPI assigned
- Aug 6, 2020
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA57943 | CA | Primary |
Addresses
Primary practice location
27522 Antonio Pkwy Ste P3
Ladera Ranch, CA 92694-2166
Mailing address
328 E Jacaranda Ave
Orange, CA 92867-5726
Phone (617) 717-8069
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Tufts University School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1019 Trapelo Rd
Waltham, MA 02452-5002
Phone (774) 400-4084
1030 Main St
Waltham, MA 02451-7447
Phone (781) 894-6900
1210 Boylston St
Chestnut Hill, MA 02467-2109
Phone (774) 400-4084
154 Great Rd
Bedford, MA 01730-2725
Phone (781) 430-8161
16 Main St
Stoneham, MA 02180-3334
Phone (781) 279-4000
17 White St
Cambridge, MA 02140-1413
Phone (781) 430-9161
4110 Mystic Valley Pkwy
Suite 2
Medford, MA 02155-6916
Phone (774) 400-4084
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA57943 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patriot Urgent Care Professionals PC | Current | Accepting new patients | |
| Patriot Urgent Care Professionals, PC | Current | Accepting new patients |
Locations
154 Great Rd
Bedford, MA 01730
Phone (781) 430-8161
1030 Main St
Waltham, MA 02451
Phone (781) 894-6900
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 and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Waltham, MA
- NPI 1417205105
-
- Urgent Care Clinic/Center
- Cambridge, MA
- NPI 1245123587
-
- Urgent Care Clinic/Center
- Burlington, MA
- NPI 1598195968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596672000000",
"number": "1548870249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "328 E JACARANDA AVE",
"city": "ORANGE",
"state": "CA",
"postal_code": "928675726",
"telephone_number": "617-717-8069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27522 ANTONIO PKWY STE P3",
"city": "LADERA RANCH",
"state": "CA",
"postal_code": "926942166",
"telephone_number": "949-267-3141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOOMIS",
"first_name": "CATHERINE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-06",
"last_updated": "2020-08-06",
"certification_date": "2020-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA57943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ladera Ranch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.