Individual provider Active NPI

Katherine Stiene, MD

  • Emergency Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1992201420
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
165023 Issued in CA
Practice address
2051 Marengo St
Los Angeles, CA 90033-1352
Phone
(323) 409-1000
NPI assigned
Apr 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 165023 CA Primary

Addresses

Primary practice location

2051 Marengo St
Los Angeles, CA 90033-1352

Mailing address

1200 N State St # 1011
Los Angeles, CA 90033-1083
Phone (323) 409-7053

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
I20210714001467 CA Practitioner - Emergency Medicine 3173951258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
State University of New York Downstate Medical Center, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Coast Emergency Medical Group IncGroup PAC ID 1355254269, 33 clinicians

Practice addresses (Care Compare)

351 S Patterson Ave
Goleta Valley Cottage Hospital
Santa Barbara, CA 93111-2403
Phone (805) 967-3411

Hospital & facility affiliations

  • Santa Barbara Cottage Hospital Hospital, Santa Barbara, CA, CCN 050396
  • Santa Ynez Valley Cottage Hospital Hospital, Solvang, CA, CCN 051331
  • Goleta Valley Cottage Hospital Hospital, Santa Barbara, CA, CCN 050357

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as group
Quality
98.36
Promoting interoperability
100
Improvement activities
40
Cost
75.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
165023CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
South Coast Emergency Medical Group Inc Emergency Medicine CurrentSince Jun 1, 2022 Accepting new patients
Cottage Medical Associates Past Accepting new patients

Locations

351 S Patterson Ave
Santa Barbara, CA 93111
Phone (805) 681-6406

400 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 569-7279

2050 Viborg Rd
Solvang, CA 93463
Phone (805) 686-3961

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1992201420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N STATE ST # 1011",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331083",
            "telephone_number": "323-409-7053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 MARENGO ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331352",
            "telephone_number": "323-409-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIENE",
        "first_name": "KATHERINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "165023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.