DR. VIENNA GRAYCE KATANA (DO) – Dermatology Physician, NPI 1871832881
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,140 DERMATOLOGY in CA
Provider Addresses for DR. VIENNA GRAYCE KATANA (DO)
34800 BOB WILSON DR
SAN DIEGO, CA 921341098
Phone: (619) 532-6400
Type: Mailing
4664 N PENNGROVE WAY STE 100
MERIDIAN, ID 836467442
Phone: (208) 898-7467
Fax: (208) 398-2120
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $406.
Total Amount is formed as General ($406) + Research ($0) + Ownership ($0) = $406.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Ortho Dermatologics, a division of Bausch Health US, LLC ($108).
Total Amount
$406
General + Research + Ownership
Payments
15
Total payment records
General Amount
$406
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-08-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230628000680 | I | Dermatology | CA | TBD |
| I20240826001793 | I | Dermatology | ID | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92134)
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Group practice members
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Reviews
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