Organization Active NPI

Katrina Platt DO PC

  • Primary Care Clinic/Center
  • Riverside, CA
National Provider Identifier
1740625607
Registry record updated Aug 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
20A10988 Issued in CA
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

Updated by the provider on Aug 26, 2013

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

Authorized official

Name
Katrina Platt, D.O.NPI 1871749556
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20140203001114 CA Part B Supplier - Clinic/Group Practice 7214166701 Receives reassigned benefits from 1 practitioner
Practice locations: Redlands, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.