Individual provider Active NPI

Kathleen Vartan

  • Physical Therapist
  • Huntington Beach, CA
National Provider Identifier
1689371924
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
303637 Issued in CA
Practice address
7071 Warner Ave
Huntington Beach, CA 92647-5495
Phone
(714) 847-3800
NPI assigned
Feb 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 303637 CA Primary

Addresses

Primary practice location

7071 Warner Ave
Huntington Beach, CA 92647-5495

Mailing address

5134 Adenmoor Ave
Lakewood, CA 90713-1806

Other names 1

  • Kathleen Fogarty Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230331002452 CA Practitioner - Physical Therapist in Private Practice 0244605418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

505 N Euclid St
Suite 680
Anaheim, CA 92801-5509
Phone (714) 780-0010

7071 Warner Ave
Suite a
Huntington Beach, CA 92647-5444
Phone (714) 847-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
303637CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist CurrentSince Feb 27, 2023 Accepting new patients
California Rehab & Sports Therapy CurrentSince Feb 27, 2023 Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist Current Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist Past Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist Past Accepting new patients

Locations

505 N Euclid St
Ste 680
Anaheim, CA 92801
Phone (714) 780-0010

2035 Corte del Nogal
Ste 200
Carlsbad, CA 92011
Phone (760) 931-8310

4755 Katella Ave
Ste 101
Cypress, CA 90720
Phone (657) 213-8687

11420 Warner Ave
Ste B
Fountain Valley, CA 92708
Phone (657) 204-2959

18785 Brookhurst St
Ste 104
Fountain Valley, CA 92708
Phone (657) 301-4967

18682 Beach Blvd
Ste 160
Huntington Beach, CA 92648
Phone (714) 378-1300

7071 Warner Ave
Ste A
Huntington Beach, CA 92647
Phone (714) 847-3800

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.

NPI Registry JSON

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1689371924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5134 ADENMOOR AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907131806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7071 WARNER AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926475495",
            "telephone_number": "714-847-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARTAN",
        "first_name": "KATHLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "303637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "FOGARTY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.