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KATHERINE KAWAKAMI SOUBRA NURSE PRACTITIONER
NPI 1417036195
Nurse Practitioner in Long Beach, CA

Active since November 03, 2006PECOS Enrolled
2701 ATLANTIC AVE, SUITE A, LONG BEACH, CA 90806(562) 595-4827(562) 981-6898 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Katherine Kawakami Soubra Nurse Practitioner NPPES

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

KATHERINE KAWAKAMI SOUBRA NURSE PRACTITIONER (NPI 1417036195) is an individual nurse practitioner in Long Beach, California, licensed in California (301288) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417036195
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKATHERINE KAWAKAMI SOUBRACredential: NURSE PRACTITIONER
Location Address2701 ATLANTIC AVE, SUITE ALong Beach, CA 90806-2701
Mailing Address12122 Diamond StGarden Grove, CA 92845-1819 · (714) 897-9748
Phone(562) 595-4827
Fax(562) 981-6898
Sole ProprietorNo
Enumeration DateNovember 3, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1417036195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 301288
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2701 ATLANTIC AVE, Long Beach, CA 90806
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Other Identifiers 1

Other301288CA · Nurse Practitioner

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Kawakami Soubra Nurse Practitioner 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90806 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

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

MRS. JACQUELINE BARBOUR WHITE PA-C
Physician Assistant
2701 ATLANTIC AVE, SUITE B
LONG BEACH, CA 90806
Los Angeles County (562) 933-2998
MRS. CAROL LYNN W CUNNINGHAM F.N.P.-C
Nurse Practitioner
2701 ATLANTIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 933-0249
JILL E. MAITEN NURSE PRACTITIONER
Nurse Practitioner
2701 ATLANTIC AVE, SUITE A
LONG BEACH, CA 90806
Los Angeles County (562) 989-8449
KEILANI LUNA OTD
Occupational Therapist
2701 ATLANTIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 861-3606
KIM UNG PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2701 ATLANTIC AVE, SUITE A
LONG BEACH, CA 90806
Los Angeles County (562) 933-2757
CRISTINA FARKAS-SKILES MD
Pediatrics
2701 ATLANTIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 933-5477
CHIH-YIN CHENG PHARM.D.
Pharmacist
2701 ATLANTIC AVE
LONG BEACH, CA 90806
Los Angeles County (562) 661-1440
MOHAMED ADAM SHABAN M.D.
Pediatrics (Pediatric Gastroenterology)
2701 ATLANTIC AVE
LONG BEACH, CA 90806
Los Angeles County (714) 377-6993

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 Soubra's NPI number?

The NPI number for Katherine Soubra is 1417036195. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Katherine Soubra located?

Katherine Soubra practices at 2701 Atlantic Ave Suite A, Long Beach, CA 90806. The listed phone number is (562) 595-4827.

What is Katherine Soubra's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Katherine Soubra enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Katherine Soubra was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.