KATHREEN AHN
NPI 1962933838
Student in an Organized Health Care Education/Training Program in Riverside, CA

Q: What is Kathreen Ahn's NPI number?

The NPI number for Kathreen Ahn is 1962933838. It was assigned to this individual provider in the NPPES registry on March 23, 2017.

Q: What is Kathreen Ahn's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kathreen Ahn was last updated on December 3, 2021. 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.

Active since March 23, 2017PECOS EnrolledAccepts Medicare Assignment

10800 MAGNOLIA AVE, RIVERSIDE, CA 92505(951) 353-4539 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 3, 2021, Mar 23, 2017 (2 updates tracked since 2017).

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About Kathreen Ahn NPPES

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

KATHREEN AHN (NPI 1962933838) is an individual student in an organized health care education/training program in Riverside, California and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1962933838

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKATHREEN AHN

Location Address10800 MAGNOLIA AVERiverside, CA 92505-3043

Mailing Address10800 Magnolia AveRiverside, CA 92505-3043

Phone(951) 353-4539

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMarch 23, 2017

Last NPPES UpdateDecember 3, 20212 updates tracked since enumeration

✔ NPI 1962933838 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.

10800 MAGNOLIA AVE, Riverside, CA 92505

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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 and accepts Medicare assignment

Kathreen Ahn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335574748

PECOS Enrollment IDI20200131001540

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.

KAISER PERMANENTE

General Acute Care Hospital