Kristine Daugherty, PA-C - Medicare Physician Assistant in Canoga Park, CA

Kristine Daugherty, PA-C is a medicare enrolled "Physician Assistant" in Canoga Park, California. Her current practice location is 22235 Sherman Way Ste 100, Canoga Park, California. You can reach out to her office (for appointments etc.) via phone at (804) 909-9166.

Kristine Daugherty is licensed to practice in Colorado (license number 3870) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1538583463.

Contact Information

Kristine Daugherty, PA-C
22235 Sherman Way Ste 100,
Canoga Park, CA 91303-1075
(804) 909-9166
Not Available

Map and Direction




Provider's Profile

Full NameKristine Daugherty
GenderFemale
SpecialityPhysician Assistant
Location22235 Sherman Way Ste 100, Canoga Park, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1538583463
  • Provider Enumeration Date: 02/12/2014
  • Last Update Date: 09/19/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5395000673
  • Enrollment ID: I20191121002479

Medical Identifiers

Medical identifiers for Kristine Daugherty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538583463NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 53247 (California)Secondary
363A00000XPhysician Assistant 021203-1 (New York)Secondary
363A00000XPhysician Assistant 6753 (Arizona)Secondary
363A00000XPhysician Assistant 085006234 (Illinois)Secondary
363A00000XPhysician Assistant PA12195 (Texas)Secondary
363A00000XPhysician Assistant 0110-006177 (Virginia)Secondary
363A00000XPhysician Assistant 3870 (Colorado)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristine Daugherty is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kristine Daugherty, PA-C
6255 Canoga Ave Apt 30,
Woodland Hills, CA 91367-2404

Ph: (804) 909-9166
Kristine Daugherty, PA-C
22235 Sherman Way Ste 100,
Canoga Park, CA 91303-1075

Ph: (804) 909-9166

Reviews and Comments


Physician Assistant Nurses in Canoga Park, CA

Tara Grayson,
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Hugo Alfredo Rodriguez, PA
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Practice Location: 20440 Sherman Way, Canoga Park, CA 91306
Phone: 818-346-2395    Fax: 818-346-4591
Mr. Jose Vargas, PA
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Practice Location: 20440 Sherman Way, Canoga Park, CA 91306
Phone: 818-346-2395    Fax: 818-346-4591
Talar Fassih, PA
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Medicare: Medicare Enrolled
Practice Location: 20905 Sherman Way, Canoga Park, CA 91303
Phone: 818-564-4961    
Ms. Asya Damatian, PA
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Medicare: Medicare Enrolled
Practice Location: 22030 Sherman Way Ste 101, Canoga Park, CA 91303
Phone: 818-312-9101    
Sally Ortega, PA
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Medicare: Not Enrolled in Medicare
Practice Location: 7301 Topanga Canyon Blvd, 330, Canoga Park, CA 91303
Phone: 844-968-6363    Fax: 818-356-4380

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.