Individual provider Active NPI

Katherine Au, MD

  • Surgery of the Hand (Plastic Surgery) Physician
  • Pasadena, CA
National Provider Identifier
1689888042
Registry record updated May 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
License
A101676 Issued in CA
Practice address
909 S Fair Oaks Ave
Pasadena, CA 91105-2625
Phone
(626) 389-9300
Fax
(626) 389-9336
NPI assigned
May 9, 2007
Last updated
May 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X A101676 CA
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X A101676 CA Primary

Addresses

Primary practice location

909 S Fair Oaks Ave
Pasadena, CA 91105-2625

Mailing address

PO Box 8500
Shriners Hospitals for Children Los Angeles
Philadelphia, PA 19178-7642
Phone (813) 281-8478

Other identifiers 1

IdentifierTypeStateIssuer
0A1016760MedicaidCA

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
I20080804000119 CA Practitioner - Hand SurgeryPractitioner - Plastic and Reconstructive Surgery 6406920818 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A101676CAMDSurgery of the Hand (Plastic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shriners Hospitals for Children CurrentSince Jun 1, 2017 Accepting new patients
Orthopaedic Hospital CurrentSince Apr 15, 2019 Accepting new patients
Shriners Hospitals for Children CurrentSince Jun 1, 2017 Accepting new patients
Shriners Hospitals for Children Current Accepting new patients
Orthopaedic Hospital Medical Group Inc CurrentSince Apr 15, 2019 Accepting new patients
The Shriners' Hospital for Children Past Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
Shriners Hospitals for Children Past Accepting new patients
CHHP Holdings II, LLC Past Accepting new patients
The Regents of the University of California Past Accepting new patients

Locations

403 W Adams Blvd
Los Angeles, CA 90007
Phone (213) 741-8330

101341 File
Pasadena, CA 91189

909 S Fair Oaks Ave
Pasadena, CA 91105
Phone (213) 388-3151

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526601600000",
    "number": "1689888042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8500",
            "address_2": "SHRINERS HOSPITALS FOR CHILDREN LOS ANGELES",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191787642",
            "telephone_number": "813-281-8478",
            "fax_number": "813-281-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 S FAIR OAKS AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052625",
            "telephone_number": "626-389-9300",
            "fax_number": "626-389-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AU",
        "first_name": "KATHERINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2018-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A101676",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "CA",
            "license": "A101676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0A1016760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.