KATHERINE LIN MATSUMOTO (NPI# 1003322306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003322306 |
| Entity Type | Individual |
| Full Name | KATHERINE LIN MATSUMOTO |
| Other Name | KATHERINE LIN |
| Credential | FNP-BC |
| Practice Address |
250 E Yale Loop Ste 204 Irvine CA 92604-4697 |
| Practice Telephone | 9497323530 |
| Practice Fax Number | 9497323533 |
| Mailing Telephone | 9497323530 |
| Mailing Fax Number | 9497323533 |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2017-12-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95007597 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NURSE PRACTITIONER LICENSE | 95007597 | 01 |
| Street Address |
250 E YALE LOOP STE 204 |
| City | IRVINE |
| State | CA |
| Zip Code | 92604-4697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417643 | New Skin and Body Aesthetics Inc | Internal Medicine | 4980 Barranca Parkway, 201, Irvine, CA 92604 | 2020-11-02 |
| 1679091144 | Alan Chang | Pharmacist | 5385 Alton Parkway, Irvine, CA 92604 | 2017-09-06 |
| 1942751599 | Haleh Ranjijifroody | Chiropractor | 4980 Barranca Parkway Unit 200, Irvine, CA 92604 | 2016-10-19 |
| 1265982136 | Nora M Balke | Nurse Practitioner | 4968 Booth Cir Ste 110, Irvine, CA 92604 | 2016-10-04 |
| 1679945612 | Cvs Pharmacy | Pharmacist | 15333 Culver Drive, Suite 300, Irvine, CA 92604 | 2015-10-29 |
| 1184016230 | Keri Blasingame | Nurse Practitioner | 4980 Barranca Parkway Suite 200, Irvine, CA 92604 | 2015-02-26 |
| 1679979827 | Oc Women's Health,apc | Obstetrics & Gynecology | 14252 Culver Drive Suite A 499, Irvine, CA 92604 | 2014-11-17 |
| 1326443920 | Peter Sumarsono Professional Dental Corporation | Preferred Provider Organization | 4605 Barranca Parkway., 200, Irvine, CA 92604 | 2014-10-27 |
| 1164832218 | Abdiel Noe Hernandez | Driver | 14252 Culver Drive Ste A, Irvine, CA 92604 | 2014-04-29 |
| 1811315781 | Trisha Sharma | Internal Medicine | 6 Willard St, Kaiser Permanente- Barranca Medical Office Building, Irvine, CA 92604 | 2014-03-28 |
| Find all providers in zip 92604 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447866132 | Lisa Yoensil Yoon Park | Nurse Practitioner | 9204 Esperanza, Irvine, CA 92618-1749 | 2020-09-18 |
| 1922613702 | Jennifer Elbel Hill | Nurse Practitioner | 16100 Sand Canyon Ave Ste 130, Irvine, CA 92618-3722 | 2020-09-09 |
| 1649898743 | Aimee Johanna Rodriguez | Nurse Practitioner | 3237 Grand Canal, Irvine, CA 92620-1707 | 2020-07-06 |
| 1407318314 | Marlon Herrera Carpio | Nurse Practitioner | 17 Pacific Crst, Irvine, CA 92602-2408 | 2019-04-01 |
| 1316404007 | Annie Tak | Nurse Practitioner | 2 Hughes Ste 150, Irvine, CA 92618-2036 | 2019-02-28 |
| 1164998886 | Ashkan Bastani | Nurse Practitioner | 9 Mecklenberg, Irvine, CA 92620-2727 | 2018-10-19 |
| 1174001507 | Melanie Bernus Tallakson | Nurse Practitioner | 1100 Gottschalk Medical Plaza, Irvine, CA 92697 | 2018-07-28 |
| 1518481431 | Nueva Parazo Singian | Nurse Practitioner | 7725 Gateway Unit 1239, Irvine, CA 92618-1573 | 2017-08-02 |
| 1861920191 | Sindu Shelly | Nurse Practitioner | 23 Poppy, Irvine, CA 92618-6922 | 2017-05-31 |
| 1245768100 | Donna Mae Chaves | Nurse Practitioner | 718 Whispering Trl, Irvine, CA 92602-0805 | 2017-05-23 |
| Find all providers in IRVINE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.