Individual provider Active NPI

Katrina M Vlachos, MD

  • Physical Medicine & Rehabilitation Physician
  • Marina del Rey, CA
National Provider Identifier
1932126802
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A068888 Issued in CA
Practice address
13160 Mindanao Way #300
Marina del Rey, CA 90292
Phone
(310) 574-0384
Fax
(310) 574-0382
NPI assigned
Jul 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X A068888 CA Primary

Addresses

Primary practice location

13160 Mindanao Way #300
Marina del Rey, CA 90292

Mailing address

PO Box 757
Hermosa Beach, CA 90254-0757
Phone (310) 574-0384

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
I20040324001239 CA Practitioner - Physical Medicine and RehabilitationPractitioner - Other (Physician) 2567353782 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Saint Louis University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports and Spine OrthopaedicsGroup PAC ID 8224028378, 14 clinicians
Torrance Health Association IncGroup PAC ID 1355302134, 298 clinicians
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

13160 Mindanao Way
Suite 300
Marina del Rey, CA 90292-6393

23456 Hawthorne Blvd
Suite 200
Torrance, CA 90505-4716

23560 Crenshaw Blvd
Suite 102
Torrance, CA 90505-5233
Phone (310) 784-2355

5215 Torrance Blvd
Torrance, CA 90503-4009
Phone (310) 316-6190

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A068888CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Katrina M. Vlachos, M. D. Inc. CurrentSince Nov 1, 2006 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Aug 1, 2023 Accepting new patients
Sports and Spine Orthopaedics CurrentSince Nov 1, 2021 Accepting new patients
Torrance Health Association Inc CurrentSince Jan 1, 2024 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Aug 1, 2023 Accepting new patients
Steven J Waltrip MD Inc Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Cedars-Sinai Marina Hospital Past Accepting new patients

Locations

120 S Spalding Dr
Ste 400
Beverly Hills, CA 90212
Phone (310) 860-3434

2200 E Maple Ave
El Segundo, CA 90245
Phone (310) 316-6190

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

13160 Mindanao Way
Ste 300
Marina del Rey, CA 90292
Phone (310) 574-0400

514 N Prospect Ave
Fl 4
Redondo Beach, CA 90277
Phone (310) 750-3300

5215 Torrance Blvd
Ste 100
Torrance, CA 90503

23560 Crenshaw Blvd
Ste 101
Torrance, CA 90505
Phone (310) 517-7021

23560 Crenshaw Blvd
Ste 102
Torrance, CA 90505
Phone (310) 784-2355

23326 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 257-7205

5215 Torrance Blvd
Torrance, CA 90503
Phone (310) 316-6190

5215 Torrance Blvd
Ste 210
Torrance, CA 90503
Phone (310) 316-6190

23456 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 375-8700

23530 Hawthorne Blvd
Ste 100A
Torrance, CA 90505
Phone (310) 517-4705

Interoperability endpoints

  • Direct secure messaging: kvlachos498045@direct.cshs.org

Organizations & group practices 8

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358985600000",
    "number": "1932126802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 757",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902540757",
            "telephone_number": "310-574-0384",
            "fax_number": "310-574-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13160 MINDANAO WAY #300",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "90292",
            "telephone_number": "310-574-0384",
            "fax_number": "310-574-0382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VLACHOS",
        "first_name": "KATRINA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2013-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A068888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marina del Rey, CA

Sources for this page

Verify at the official NPI Registry.