Individual provider Active NPI

Paz Borja Kloppenburg

  • Licensed Practical Nurse
  • Fresno, CA
National Provider Identifier
1013163997
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
VN168918 Issued in CA
Practice address
912 E Robinson Ave
Fresno, CA 93704-4948
Phone
(559) 229-4060
NPI assigned
Aug 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X VN168918 CA Primary

Addresses

Primary practice location

912 E Robinson Ave
Fresno, CA 93704-4948

Mailing address

6427 N Fruit Ave
Fresno, CA 93711-1401
Phone (559) 439-8249

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
VN168918CAMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Paz B Kloppenburg Past Accepting new patients
Paz Borja Kloppenburg Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218499200000",
    "number": "1013163997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6427 N FRUIT AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937111401",
            "telephone_number": "559-439-8249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 E ROBINSON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937044948",
            "telephone_number": "559-229-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOPPENBURG",
        "first_name": "PAZ",
        "middle_name": "BORJA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CA",
            "license": "VN168918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.