Active NPI
Catherine Marin Deugarte, M.D.
- Reproductive Endocrinology Physician
- Los Angeles, CA
National Provider Identifier
1801963277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- 4301084843
- Practice address
- 10921 Wilshire Blvd
Ste 702
Los Angeles, CA 90024-3906 - Phone
- (310) 873-1800
- NPI assigned
- Nov 29, 2006
- Last updated
- Jul 31, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 4301084843 | MI | |
| Reproductive Endocrinology Physician | 207VE0102X | 4301084843 | MI | Primary |
Addresses
Primary practice location
10921 Wilshire Blvd
Ste 702
Los Angeles, CA 90024-3906
Mailing address
10921 Wilshire Blvd
Ste 702
Los Angeles, CA 90024-3906
Phone (310) 873-1800
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CD084843 | Other | CHAMPUS-CHAMPUS | |
| 700H262210 | Other | BLUE CROSS-BLUE CROSS | |
| CD084843 | Other | COMMERCIAL-COMMERCIAL NUMBER | |
| 477697210 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301084843 | MI | MD | Reproductive Endocrinology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438300800000",
"number": "1801963277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10921 WILSHIRE BLVD",
"address_2": "STE 702",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900243906",
"telephone_number": "310-873-1800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10921 WILSHIRE BLVD",
"address_2": "STE 702",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900243906",
"telephone_number": "310-873-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEUGARTE",
"first_name": "CATHERINE",
"middle_name": "MARIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2015-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "4301084843",
"primary": false
},
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "MI",
"license": "4301084843",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS-CHAMPUS",
"identifier": "CD084843",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS-BLUE CROSS",
"identifier": "700H262210",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL-COMMERCIAL NUMBER",
"identifier": "CD084843",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "477697210",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.