Active NPI
Katrina Platt DO PC
- Primary Care Clinic/Center
- Riverside, CA
National Provider Identifier
1740625607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 20A10988
- Legal business name
- KATRINA PLATT DO PC
- Practice address
- 2388 Grace St
Riverside, CA 92504-4909 - Phone
- (909) 641-6708
- NPI assigned
- May 6, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katrina Platt, D.O.
- Title
- President
- Phone
- (909) 641-6708
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 20A10988 | CA | Primary |
Addresses
Primary practice location
2388 Grace St
Riverside, CA 92504-4909
Mailing address
5 E Citrus Ave
Suite 209
Redlands, CA 92373-4736
Phone (909) 307-6007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5 E Citrus Ave
Ste 209
Redlands, CA 92373
Phone (909) 308-6007
251 Cajon St
Ste A
Redlands, CA 92373
Phone (909) 307-0176
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Redlands, CA
- NPI 1871749556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1377475200000",
"number": "1740625607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 E CITRUS AVE",
"address_2": "SUITE 209",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923734736",
"telephone_number": "909-307-6007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2388 GRACE ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925044909",
"telephone_number": "909-641-6708"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KATRINA PLATT DO PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-06",
"last_updated": "2013-08-26",
"status": "A",
"authorized_official_last_name": "PLATT",
"authorized_official_first_name": "KATRINA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "909-641-6708",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "CA",
"license": "20A10988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.