Active NPI
Katherine A Yurcich
- Clinical Social Worker
- Santa Ana, CA
National Provider Identifier
1982795654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 20670
- Practice address
- 2130 E 4TH St
Santa Ana, CA 92705-3818 - Phone
- (714) 543-5437
- Fax
- (714) 543-5463
- NPI assigned
- Sep 27, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 20670 | CA | Primary |
Addresses
Primary practice location
2130 E 4TH St
Santa Ana, CA 92705-3818
Mailing address
1147 W Memory LN Apt 11D
Santa Ana, CA 92706-1505
Phone (714) 543-5437
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250204000405 | CA | Practitioner - Clinical Social Worker | 9234669466 | Practice locations: Davis, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- University of Southern California Keck School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1712 Picasso Ave
Suite a
Davis, CA 95618-0546
Phone (530) 302-5340
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27502 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225152000000",
"number": "1982795654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1147 W MEMORY LN APT 11D",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927061505",
"telephone_number": "714-543-5437",
"fax_number": "714-543-5463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2130 E 4TH ST",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053818",
"telephone_number": "714-543-5437",
"fax_number": "714-543-5463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YURCICH",
"first_name": "KATHERINE",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2008-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "20670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.