Kathryn Locatell, MD

Primary specialty

Legal Medicine (M.D./D.O.) PhysicianTaxonomy code 209800000X

License

G58510 Issued in CA

Practice address

3450 Palmer Dr
Suite 4-403
Cameron Park, CA 95682-8253

Phone

(530) 676-5367

Fax

(877) 903-7127

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1912084492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4921 RESERVATION RD",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956679742",
            "telephone_number": "530-676-5367",
            "fax_number": "877-903-7127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 PALMER DR",
            "address_2": "SUITE 4-403",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956828253",
            "telephone_number": "530-676-5367",
            "fax_number": "877-903-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCATELL",
        "first_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "G58510",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "G58510",
            "primary": false
        },
        {
            "code": "209800000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "CA",
            "license": "G58510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Graham Leupp, DMD
• LMZ Helping Others, Inc
• Ernest Lo, MD
• Lohmann Enterprises, LLC
• Longs Drug Stores California LLC
• Longs Drug Stores California, LLC
• David Edward Lungren, DC CHIROPRACTOR
• Lyons Psychological Services Inc

• Legal Medicine (M.D./D.O.) Physician in Cameron Park, CA
• Providers in Cameron Park, CA by specialty
• Legal Medicine (M.D./D.O.) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.