Elizabeth Koprucki

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2075 San Joaquin Hills Rd
Newport Beach, CA 92660-6505

Phone

(651) 373-6604

NPI assigned

Apr 18, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, MT2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Somagen Healthcare IncGroup PAC ID 1557530151, 53 clinicians

Alpine Orthopedics and Sports MedicineGroup PAC ID 7113993577, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bozeman Health Deaconess Hospital Hospital, Bozeman, MT, CCN 270057

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Somagen Healthcare Inc

  • Urgent Care Clinic/Center
  • Santee, CA
  • NPI 1396058137

  CA

  Medicare reassignment Care Compare group NPD (past)
• Alpine Orthopedics & Sports Medicine

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Bozeman, MT
  • NPI 1083626832

  MT

  Medicare reassignment Care Compare group
• Somagen Healthcare Inc

  • Urgent Care Clinic/Center
  • Chula Vista, CA
  • NPI 1316225147
  Care Compare group
• Somagen Healthcare Inc

  • Urgent Care Clinic/Center
  • San Diego, CA
  • NPI 1558788620
  Care Compare group
• Somagen Healthcare Inc

  • Urgent Care Clinic/Center
  • San Diego, CA
  • NPI 1770015901
  Care Compare group
• Somagen Healthcare Inc

  • Urgent Care Clinic/Center
  • San Diego, CA
  • NPI 1952995466
  Care Compare group
• Somagen Healthcare Inc

  • Urgent Care Clinic/Center
  • San Diego, CA
  • NPI 1992237127
  Care Compare group
• Somagen Healthcare Inc

  • Urgent Care Clinic/Center
  • Granada Hills, CA
  • NPI 1043667660
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bozeman Health Deaconess Hospital

  • General Acute Care Hospital
  • Bozeman, MT
  • NPI 1104295864

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1003559907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 SAN JOAQUIN HILLS RD",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926606505",
            "telephone_number": "651-373-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 SAN JOAQUIN HILLS RD",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926606505",
            "telephone_number": "651-373-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPRUCKI",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-18",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabel B Koo, NP
• Janet Kook
• Robert Frank Kopel, MD
• Catherine Koper, MD
• Elaine Kopinga, CNM
• Zita Kopta, NP
• Colin Graham Koransky, PHD
• Paul Jason Korc, MD, INC.
• Hisham Galal Korraa, M.D.
• Katlynn Kossick

• All providers in Newport Beach, CA
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.