Individual provider Active NPI

Karen Kohatsu

  • Obstetrics & Gynecology Physician
  • San Diego, CA
National Provider Identifier
1679517239
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G70665 Issued in CA
Practice address
11939 Rancho Bernardo Rd
Suite 110
San Diego, CA 92128-2073
Phone
(858) 613-8949
Fax
(858) 613-8953
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G70665 CA Primary

Addresses

Primary practice location

11939 Rancho Bernardo Rd
Suite 110
San Diego, CA 92128-2073

Mailing address

11939 Rancho Bernardo Rd
Suite 110
San Diego, CA 92128-2073
Phone (858) 613-8949

Other identifiers 3

IdentifierTypeStateIssuer
00G706650MedicaidCA
330322941OtherCATRICARE
00G706650OtherCABLUE SHIELD

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
I20070307000551 CA Practitioner - Obstetrics/Gynecology 1658302989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of California, Geffen School of Medicine, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11939 Rancho Bernardo Rd
San Diego, CA 92128-2074
Phone (858) 618-1156

Hospital & facility affiliations

  • Palomar Medical Center Poway Hospital, Poway, CA, CCN 050636

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Escondido OB-GYN Medical Group, Inc Obstetrics & Gynecology Past Accepting new patients
Obhg California, P.C. Obstetrics & Gynecology Past Accepting new patients
Palomar Health Past Accepting new patients
Rady Children'S Hospital San Diego Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: kkohatsu32431@sharphealthcare.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213315200000",
    "number": "1679517239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11939 RANCHO BERNARDO RD",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282073",
            "telephone_number": "858-613-8949",
            "fax_number": "858-613-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11939 RANCHO BERNARDO RD",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282073",
            "telephone_number": "858-613-8949",
            "fax_number": "858-613-8953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHATSU",
        "first_name": "KAREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2008-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G70665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G706650",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "330322941",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G706650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.