Individual provider Active NPI

Katherine Ann Buaron, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • San Rafael, CA
National Provider Identifier
1780547182
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95038425 Issued in CA
Practice address
800 A St
San Rafael, CA 94901-3011
Phone
(415) 457-8182
Fax
(415) 457-7471
NPI assigned
Dec 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95038425 CA Primary

Addresses

Primary practice location

800 A St
San Rafael, CA 94901-3011

Mailing address

PO Box 3517
San Rafael, CA 94912-3517
Phone (415) 457-8182

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260310004099 CA Practitioner - Nurse Practitioner 4385127109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1300 National Dr
Suite 135
Sacramento, CA 95834-1947

PO Box
Suite 3517
San Rafael, CA 94912

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95038425CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ritter Center CurrentSince Feb 4, 2026 Accepting new patients

Locations

16 Ritter St
San Rafael, CA 94901
Phone (415) 457-8182

Organizations & group practices 1

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": "1764720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1780547182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3517",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949123517",
            "telephone_number": "415-457-8182",
            "fax_number": "415-457-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 A ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013011",
            "telephone_number": "415-457-8182",
            "fax_number": "415-457-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUARON",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "credential": "DNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-03",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95038425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

Verify at the official NPI Registry.