Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MISS KATHERINE CLARK KETCHUM M.D.
NPI 1386337483
Pediatrics in San Diego, CA

Q: What is Katherine Ketchum's NPI number?

The NPI number for Katherine Ketchum is 1386337483. It was assigned to this individual provider in the NPPES registry on June 2, 2023.

Q: What is Katherine Ketchum's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Katherine Ketchum was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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 June 02, 2023

3020 CHILDRENS WAY, SAN DIEGO, CA 92123(718) 918-4084 Get Directions Write a Review

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

Record update history: Aug 10, 2026, Jun 2, 2023 (2 updates tracked since 2023).

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About Miss Katherine Clark Ketchum M.d. NPPES

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

MISS KATHERINE CLARK KETCHUM M.D. (NPI 1386337483) is an individual pediatrics provider in San Diego, California, licensed in California (A207584) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1386337483

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMISS KATHERINE CLARK KETCHUMCredential: M.D.

Location Address3020 CHILDRENS WAYSan Diego, CA 92123-4223

Mailing Address3020 Childrens WaySan Diego, CA 92123-4223 · (858) 966-8036

Phone(718) 918-4084

Sole ProprietorNo

Enumeration DateJune 2, 2023

Last NPPES UpdateAugust 10, 20262 updates tracked since enumeration

NPPES CertifiedAugust 10, 2026

✔ NPI 1386337483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A207584

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3020 CHILDRENS WAY, San Diego, CA 92123

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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. NATALIE E. ELLINGTON MD

Pathology (Pediatric Pathology)

3020 CHILDRENS WAY
SAN DIEGO, CA 92123

San Diego County (858) 966-5944

SHANNA MICHAEL MILLER-NABAS RDN

Physician Assistant

3020 CHILDRENS WAY
SAN DIEGO, CA 92123

San Diego County (858) 576-1700

DR. ADRIANA HERRERA TREMOULET M.D.

Pediatrics (Pediatric Infectious Diseases)

3020 CHILDRENS WAY
SAN DIEGO, CA 92123

San Diego County (858) 966-7785

LORI MCCURDY M.S., CCC-SLP

Speech-Language Pathologist

3020 CHILDRENS WAY, MC5010
SAN DIEGO, CA 92123

San Diego County (858) 968-5838

MS. ANN M SUMIDA-JOHNSON M.A..

Audiologist

3020 CHILDRENS WAY, MC 5010
SAN DIEGO, CA 92123

San Diego County (858) 966-5838

RICHARD JOHN NEWTON M.D.

Pediatrics

3020 CHILDRENS WAY
SAN DIEGO, CA 92123

San Diego County (858) 966-8036

DR. SHAHFAR KHAN M.D.

Pediatrics (Pediatric Emergency Medicine)

3020 CHILDRENS WAY
SAN DIEGO, CA 92123

San Diego County (858) 966-8800

CARLY BETH WELCH CPNP-AC

Nurse Practitioner (Pediatrics)

3020 CHILDRENS WAY
SAN DIEGO, CA 92123

San Diego County (858) 966-8800

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 Ketchum's NPI number?

The NPI number for Katherine Ketchum is 1386337483. It was assigned to this individual provider in the NPPES registry on June 2, 2023.

Where is Katherine Ketchum located?

Katherine Ketchum practices at 3020 Childrens Way, San Diego, CA 92123. The listed phone number is (718) 918-4084.

What is Katherine Ketchum's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Katherine Ketchum was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.