Active NPI
Paul Opare-Addo
- Family Medicine Physician
- Ventura, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A150984
- 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, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A150984 | CA | MD | Family Medicine Physician |
| 67046 | CT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Last Frontier Healthcare District | Current | 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.
-
dba Modoc Medical Center
- Critical Access Hospital
- Alturas, CA
- NPI 1487669032
-
dba Moorpark Family Medical Group / Moorpark College
- Student Health Clinic/Center
- Moorpark, CA
- NPI 1912306317
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.