Individual provider Active NPI

Paul Opare-Addo

  • Family Medicine Physician
  • Ventura, CA
National Provider Identifier
1063891190
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A150984 Issued in CA
Practice address
3291 Loma Vista Rd
Ventura, CA 93003-3099
Phone
(805) 652-6100
Fax
(805) 652-3252
NPI assigned
May 21, 2015
Last updated
Dec 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 67046 CT
Family Medicine Physician 207Q00000X A150984 CA Primary

Addresses

Primary practice location

3291 Loma Vista Rd
Ventura, CA 93003-3099

Mailing address

3291 Loma Vista Rd
Ventura, CA 93003-3099
Phone (805) 652-6100

Other practice location 1

825 N 10th St
Santa Paula, CA 93060-1309
Phone (805) 525-0215

Other practice location 2

300 Hillmont Ave
Ventura, CA 93003-1651
Phone (805) 652-6000

Other practice location 3

1111 N Nagle St
Alturas, CA 96101-3840
Phone (530) 708-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171016003299 CA Practitioner - Family Practice 1052687290 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A150984CAMDFamily Medicine Physician
67046CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Last Frontier Healthcare District CurrentSince Jan 8, 2020 Accepting new patients
County of Ventura Past Accepting new patients
County of Ventura Past Accepting new patients

Locations

1111 N Nagle St
Alturas, CA 96101
Phone (530) 708-8800

120 S Main St
Ste A
Alturas, CA 96101
Phone (530) 233-7054

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1063891190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3291 LOMA VISTA RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033099",
            "telephone_number": "805-652-6100",
            "fax_number": "805-652-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3291 LOMA VISTA RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033099",
            "telephone_number": "805-652-6100",
            "fax_number": "805-652-3252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 N 10th St",
            "address_purpose": "LOCATION",
            "city": "Santa Paula",
            "state": "CA",
            "postal_code": "930601309",
            "country_code": "US",
            "telephone_number": "805-525-0215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Hillmont Ave",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930031651",
            "country_code": "US",
            "telephone_number": "805-652-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 N Nagle St",
            "address_purpose": "LOCATION",
            "city": "Alturas",
            "state": "CA",
            "postal_code": "961013840",
            "country_code": "US",
            "telephone_number": "530-708-8800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OPARE-ADDO",
        "first_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-21",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "67046",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A150984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.