DR. KATHRYN KUI-LAN HOLDER (M.D.) – Family Medicine Physician, NPI 1962499392

DR. KATHRYN KUI-LAN HOLDER (M.D.) is a healthcare provider. based in Fairfield, California. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. MD049016L (PA). The NPI Number for DR. KATHRYN KUI-LAN HOLDER (M.D.) is 1962499392

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. KATHRYN KUI-LAN HOLDER (M.D.)
NPI
1962499392
Phone
(707) 423-3765
Address
101 BODIN CIR
Enumeration Date
30 September 2005
Last Update Date
21 December 2021

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
7076511000
Graduation Year
1990 (36 years ago)
PAC ID
6709027675
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20151201002969
Address ID
CA945892441VA975XXDRXX300
Telehealth
Yes

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

13,194 FAMILY PRACTICE in CA

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Provider Addresses for DR. KATHRYN KUI-LAN HOLDER (M.D.)

  • 101, Bodin Circle, Fairfield, Solano County, California, 94535, United States

    TRAVIS AFB

    FAIRFIELD, CA 945351809

    Phone: (707) 423-3765

    Type: Location

  • Cherry Valley Circle, Fairfield, Solano County, California, 94533, United States

    FAIRFIELD, CA 945347510

    Phone: (707) 427-1699

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2015-12-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151201002969IFamily PracticeCATBD

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.

Verify on CMS Revalidation Lookup Tool

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 94535)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
Colorectal Surgery (Proctology), General SurgeryLA
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
Emergency MedicineCA
-MA
Emergency MedicineCA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

What is the standard ID for DR. KATHRYN KUI-LAN HOLDER (M.D.) in the U.S.?
In the U.S., DR. KATHRYN KUI-LAN HOLDER (M.D.) is identified by NPI 1962499392.
Is DR. KATHRYN KUI-LAN HOLDER (M.D.)'s NPI status active today?
Active status means DR. KATHRYN KUI-LAN HOLDER (M.D.)'s NPI record is not deactivated in the public file.
What services align with DR. KATHRYN KUI-LAN HOLDER (M.D.)'s listing?
DR. KATHRYN KUI-LAN HOLDER (M.D.)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. KATHRYN KUI-LAN HOLDER (M.D.) tied to Fairfield, California?
If you are local to Fairfield, California, DR. KATHRYN KUI-LAN HOLDER (M.D.) may be relevant to your search.
Why is information missing for DR. KATHRYN KUI-LAN HOLDER (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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