Katherine Anne Irvin, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

6201 Whittier Blvd Unit 13-18
Los Angeles, CA 90022-4661

Phone

(323) 201-6800

NPI assigned

Feb 18, 2014

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520467200000",
    "number": "1679997209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 WHITTIER BLVD UNIT 13-18",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900224661",
            "telephone_number": "323-201-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 WHITTIER BLVD UNIT 13-18",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900224661",
            "telephone_number": "323-201-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1271 Stoner Ave Apt 206",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900256192",
            "country_code": "US",
            "telephone_number": "562-230-3151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IRVIN",
        "first_name": "KATHERINE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-18",
        "last_updated": "2018-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ngozi Iroezi, M.D.
• Irradiance Medical Group Inc
• Ashley Nicole Irvin
• Barry Irvin
• Devon-Jaron Irvin
• Caleb Irvine, MD
• T'Anna Irvine
• Dejah Irving
• Le Treice Keiyta Irving, M.D.
• Irwin L. Bliss M.D. a Professional Corp.

• Physician Assistant in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.