Katherine A Kinghorn, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

43978 Issued in WI

Practice address

1555 Soquel Drive
Hospital Based at Dominican Hospital
Santa Cruz, CA 95065-1705

Phone

(831) 462-7630

NPI assigned

May 15, 2006

Last updated

Apr 20, 2022By the provider in NPPES

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

Other identifiers 2

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

Specialty

Anesthesiology

Education

Medical College of Wisconsin, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Medical Group of Santa Cruz IncGroup PAC ID 5092807271, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dominican Hospital Hospital, Santa Cruz, CA, CCN 050242

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Anesthesia Medical Group of Santa Cruz, Inc.

  • Anesthesiology Physician
  • Santa Cruz, CA
  • NPI 1871541144
  Medicare reassignment Care Compare group NPD
• University of California SFGH Medical Group

  dba UCSF SFGH Medical Group Dept of Anesthesia

  • Anesthesiology Physician
  • San Francisco, CA
  • NPI 1366417420
  Medicare reassignment NPD
• University of California SFGH Medical Group

  dba UCSF SFGH Medical Group Division of Vascular Surgery

  • Vascular Surgery Physician
  • San Francisco, CA
  • NPI 1033913959
  NPD
• Dignity Health

  dba Dominican Hospital

  • General Acute Care Hospital
  • Santa Cruz, CA
  • NPI 1427181007
  NPD (past)
• University of California San Francisco

  dba UCSF Medical Center Adult Chronic Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Francisco, CA
  • NPI 1992818256
  NPD (past)

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

• Dignity Health

  dba Dominican Hospital

  • General Acute Care Hospital
  • Santa Cruz, CA
  • NPI 1427181007
  Care Compare affiliation

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1710938568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 SOQUEL DRIVE",
            "address_2": "HOSPITAL BASED AT DOMINICAN HOSPITAL",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 SOQUEL DRIVE",
            "address_2": "HOSPITAL BASED AT DOMINICAN HOSPITAL",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651705",
            "telephone_number": "831-462-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGHORN",
        "first_name": "KATHERINE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "43978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "029906261O",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34540900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susanne Kim
• Yoo Jung Kim, DDS
• Kindred Nursing Centers West, LLC (Kindred Nursing and Transitional Care - Santa Cruz)
• Christopher King
• Steven King, RAS
• Johanna Marie Kinter, LAC
• David Leo Kipps, MD
• Mira Kirilova
• Jacob Kirkendall
• April Kirkhart, LCSW

• Anesthesiology Physician in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.

Verify at the official NPI Registry.