Individual provider Active NPI

Katherine Wilson Scangos, MD/PHD

  • Psychiatry Physician
  • Sacramento, CA
National Provider Identifier
1831534288
Registry record updated Aug 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A134115 Issued in CA
Practice address
2230 Stockton Blvd
Sacramento, CA 95817-1353
Phone
(916) 734-2972
NPI assigned
Apr 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A134115 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2230 Stockton Blvd
Sacramento, CA 95817-1353

Mailing address

2230 Stockton Blvd
Sacramento, CA 95817-1353
Phone (916) 734-2972

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180919004090 CA Practitioner - Psychiatry 9537410287 Reassigns benefits to 2 organizations
I20230505001257 PA Practitioner - Psychiatry 9537410287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Johns Hopkins University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

801 Spruce St
FL 3
Philadelphia, PA 19107-5701
Phone (215) 829-6700

Merit-based Incentive Payment System (MIPS)

Final score
84.89 of 100Reported as group
Quality
81.13
Improvement activities
40
Cost
71.5

Merit-based Incentive Payment System (MIPS)

Final score
84.91 of 100Reported as group
Quality
73.58
Promoting interoperability
100
Improvement activities
40
Cost
76.13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A134115CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Sep 1, 2018 Accepting new patients
UCSF Psychiatry Psychiatry CurrentSince Sep 1, 2018 Accepting new patients
University of Penn-Medical Group CurrentSince Feb 1, 2023 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
University of Penn-Medical Group CurrentSince Feb 1, 2023 Accepting new patients
UCSF Medical Group Business Services CurrentSince Sep 1, 2018 Accepting new patients
University of California San Francisco CurrentSince Sep 1, 2018 Accepting new patients
University of California San Francisco Current Accepting new patients
UCSF Medical Group Business Services CurrentSince Sep 1, 2018 Accepting new patients

Locations

2230 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-2614

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163

401 Parnassus Ave
#984
San Francisco, CA 94143
Phone (415) 476-7527

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

401 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-7500

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

801 Spruce St
Fl 3
Philadelphia, PA 19107
Phone (215) 627-5272

Organizations & group practices 9

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": "1367193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535673600000",
    "number": "1831534288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 STOCKTON BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171353",
            "telephone_number": "916-734-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 STOCKTON BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171353",
            "telephone_number": "916-734-2972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCANGOS",
        "first_name": "KATHERINE",
        "middle_name": "WILSON",
        "credential": "MD/PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-29",
        "last_updated": "2018-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A134115",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.