Active NPI
Carl George Knopke III, MD
- Family Medicine Physician
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A82718
- Practice address
- 4646 Brockton Ave
Ste 302
Riverside, CA 92506-0102 - Phone
- (951) 774-2723
- Fax
- (951) 231-1361
- NPI assigned
- Oct 3, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A82718 | CA | Primary |
Addresses
Primary practice location
4646 Brockton Ave
Ste 302
Riverside, CA 92506-0102
Mailing address
4646 Brockton Ave
Suite 302
Riverside, CA 92506-0102
Phone (951) 774-2723
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Texas Medical School at San Antonio, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4646 Brockton Ave
Suite 101
Riverside, CA 92506-0103
Phone (951) 774-2860
4646 Brockton Ave
Suite 203
Riverside, CA 92506-0104
Phone (951) 774-2881
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82718 | CA | MD | Pharmacist |
| A82718 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raincross Urgent Care, Inc. | Current | Accepting new patients | |
| Care Community, P.C. | Family Medicine | Past | Accepting new patients |
| Riverside Healthcare System, L.P. | Past | Accepting new patients |
Locations
4646 Brockton Ave
Ste 302
Riverside, CA 92506
Phone (951) 682-6900
4646 Brockton Ave
Ste 202
Riverside, CA 92506
Phone (909) 774-2800
4646 Brockton Ave
Ste 302-3
Riverside, CA 92506
4646 Brockton Ave
Ste 101
Riverside, CA 92506
Phone (951) 774-2755
4646 Brockton Ave
Ste 203
Riverside, CA 92506
Phone (951) 394-7028
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- carl.knopke@695428936433668.direct.elationemr.com
- carl.knopke@403277232537604.direct.elationemr.com
Organizations & group practices 4
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.
-
- Urgent Care Clinic/Center
- Riverside, CA
- NPI 1932615077
-
- Family Medicine Physician
- Riverside, CA
- NPI 1194712315
-
- Family Medicine Physician
- Folsom, CA
- NPI 1457082638
-
dba Riverside Community Hospital
- Rehabilitation Hospital Unit
- Riverside, CA
- NPI 1053358010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291161600000",
"number": "1073500294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4646 BROCKTON AVE",
"address_2": "SUITE 302",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925060102",
"telephone_number": "951-774-2723",
"fax_number": "951-231-1361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4646 BROCKTON AVE",
"address_2": "STE 302",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925060102",
"telephone_number": "951-774-2723",
"fax_number": "951-231-1361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOPKE",
"first_name": "CARL",
"middle_name": "GEORGE",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-03",
"last_updated": "2010-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A82718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.