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DR. KATHERINE ANNE PETROVICH
NPI 1194466037
Student in an Organized Health Care Education/Training Program in Torrance, CA

Active since April 05, 2022PECOS Enrolled
1000 W CARSON ST # 461, TORRANCE, CA 90502(424) 306-8070(310) 533-1841 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Katherine Anne Petrovich NPPES

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

DR. KATHERINE ANNE PETROVICH (NPI 1194466037) is an individual student in an organized health care education/training program in Torrance, California and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1194466037
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. KATHERINE ANNE PETROVICH
Location Address1000 W CARSON ST # 461Torrance, CA 90502-2059
Mailing Address1000 W Carson St # 461Torrance, CA 90502-2059 · (424) 306-8070 · Fax (310) 533-1841
Phone(424) 306-8070
Fax(310) 533-1841
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 5, 2022
NPPES CertifiedApril 5, 2022
✔ NPI 1194466037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1000 W CARSON ST # 461, Torrance, CA 90502
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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)

Dr. Katherine Anne Petrovich is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688169253
PECOS Enrollment IDI20251220000245
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 20

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

DR. KEISHA KING M.D.
Student in an Organized Health Care Education/Training Program
1000 W CARSON ST # 461
TORRANCE, CA 90502
Los Angeles County (310) 222-2700
DR. MARIANNA SARKISSYAN MD
Student in an Organized Health Care Education/Training Program
1000 W CARSON ST # 461
TORRANCE, CA 90502
Los Angeles County (424) 306-8070
DR. MICHAEL REYNA
Student in an Organized Health Care Education/Training Program
1000 W CARSON ST # 461
TORRANCE, CA 90502
Los Angeles County (310) 222-2700
MARILEE FISHER MD
Student in an Organized Health Care Education/Training Program
1000 W CARSON ST # 461
TORRANCE, CA 90502
Los Angeles County (424) 306-8070
KRISTEN NORDHAM MD
Student in an Organized Health Care Education/Training Program
1000 W CARSON ST # 461
TORRANCE, CA 90502
Los Angeles County (424) 306-8070
DR. ROGELIO ENRIQUE MOLINA MD
Student in an Organized Health Care Education/Training Program
1000 W CARSON ST # 461
TORRANCE, CA 90502
Los Angeles County (424) 306-8070
HAYOUNG PARK
Student in an Organized Health Care Education/Training Program
1000 W CARSON ST # 461, HARBOR-UCLA MEDICAL CENTER
TORRANCE, CA 90502
Los Angeles County (310) 222-2700
DR. ROBERT GRANVILLE MD
Student in an Organized Health Care Education/Training Program
1000 W CARSON ST # 461
TORRANCE, CA 90502
Los Angeles County (310) 222-2700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katherine Petrovich's NPI number?

The NPI number for Katherine Petrovich is 1194466037. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Katherine Petrovich located?

Katherine Petrovich practices at 1000 W Carson St # 461, Torrance, CA 90502. The listed phone number is (424) 306-8070.

What is Katherine Petrovich's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Katherine Petrovich enrolled in Medicare?

Yes. Katherine Petrovich is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katherine Petrovich was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.