Individual provider Active NPI

Kathryn Caldwell Perkins Tift, M.D.

  • Orthopaedic Surgery Physician
  • Fountain Valley, CA
National Provider Identifier
1831382662
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A104909 Issued in CA
Practice address
11160 Warner Ave
Suite 311
Fountain Valley, CA 92708-4055
Phone
(714) 850-7300
Fax
(714) 850-7310
NPI assigned
Aug 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Orthopaedic Surgery Physician 207XP3100X A104909 CA
Orthopaedic Surgery Physician 207X00000X A104909 CA Primary

Addresses

Primary practice location

11160 Warner Ave
Suite 311
Fountain Valley, CA 92708-4055

Mailing address

11160 Warner Ave Ste 311
Fountain Vallley, CA 92708-4055
Phone (714) 850-7300

Other identifiers 1

IdentifierTypeStateIssuer
A104909OtherCAMEDICAL LICENSE

Other names 1

  • Dr. Kathryn Caldwell Perkins Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130612000436 CA Practitioner - Orthopedic Surgery 9335388909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Tulane University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OrthowestGroup PAC ID 3072932623, 48 clinicians

Practice addresses (Care Compare)

22 Odyssey
Suite 205
Irvine, CA 92618-3197
Phone (949) 586-3200

8700 Warner Ave
Suite 140
Fountain Valley, CA 92708-3209
Phone (714) 850-7300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A104909CAMDPediatric Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthowest Orthopaedic Surgery CurrentSince Oct 1, 2020 Accepting new patients
Orthowest Orthopaedic Surgery CurrentSince Oct 1, 2020 Accepting new patients
Orthowest Orthopaedic Surgery Past Accepting new patients
Daniel T Stein, M.D. a Medical Corporation Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients

Locations

8700 Warner Ave
Ste 140
Fountain Vly, CA 92708
Phone (714) 847-6727

11160 Warner Ave
Ste 311
Fountain Vly, CA 92708
Phone (714) 850-7300

22 Odyssey
Ste 205
Irvine, CA 92618
Phone (949) 870-3332

24331 El Toro Rd
Ste 200
Laguna Woods, CA 92637
Phone (949) 767-0800

3851 Katella Ave
Ste 150
Los Alamitos, CA 90720
Phone (562) 314-1400

17 Corporate Plaza Dr
Ste 120
Newport Beach, CA 92660
Phone (714) 850-7300

2445 W Chapman Ave
Ste 100
Orange, CA 92868
Phone (714) 850-7300

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1831382662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11160 WARNER AVE STE 311",
            "city": "FOUNTAIN VALLLEY",
            "state": "CA",
            "postal_code": "927084055",
            "telephone_number": "714-850-7300",
            "fax_number": "714-957-7348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11160 WARNER AVE",
            "address_2": "SUITE 311",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084055",
            "telephone_number": "714-850-7300",
            "fax_number": "714-850-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS TIFT",
        "first_name": "KATHRYN",
        "middle_name": "CALDWELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-24",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "CA",
            "license": "A104909",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A104909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A104909",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "PERKINS",
            "middle_name": "CALDWELL",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.