KATIE LYNN RICHARDSON PA
NPI 1073259479
Physician Assistant - Surgical in Torrance, CA

Q: What is Katie Richardson's NPI number?

The NPI number for Katie Richardson is 1073259479. It was assigned to this individual provider in the NPPES registry on May 9, 2022.

Q: What is Katie Richardson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Katie Richardson was last updated on October 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 09, 2022PECOS Enrolled

21250 HAWTHORNE BLVD STE 430, TORRANCE, CA 90503(310) 326-3066(310) 326-3068 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 10, 2023, May 9, 2022 (2 updates tracked since 2022).

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About Katie Lynn Richardson Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATIE LYNN RICHARDSON PA (NPI 1073259479) is an individual surgical provider in Torrance, California, licensed in California (PA60727) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073259479

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameKATIE LYNN RICHARDSONCredential: PA

Location Address21250 HAWTHORNE BLVD STE 430Torrance, CA 90503-5511

Mailing Address15507 S Normandie Ave # 231Gardena, CA 90247-4028 · (714) 292-7359

Phone(310) 326-3066

Fax(310) 326-3068

Sole ProprietorNo

Enumeration DateMay 9, 2022

Last NPPES UpdateOctober 10, 20232 updates tracked since enumeration

NPPES CertifiedOctober 10, 2023

✔ NPI 1073259479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in CA · PA60727

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA60727 (CA)

21250 HAWTHORNE BLVD STE 430, Torrance, CA 90503

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katie Lynn Richardson Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNY KIM PA-C

Physician Assistant