Kornelia Anna Kopec, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95004764 Issued in CA

Practice address

3075 Health Center Dr Ste 102
San Diego, CA 92123-2773

Phone

(858) 637-7888

Fax

(858) 637-7887

NPI assigned

Dec 6, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Del Sur Healthcare

  • Geriatric Medicine (Internal Medicine) Physician
  • El Cajon, CA
  • NPI 1891515953

  Single Specialty

  Medicare reassignment NPD
• Minghsun Liu, M.D., PC

  • Infectious Disease Physician
  • Los Angeles, CA
  • NPI 1518309368

  Single Specialty

  Medicare reassignment NPD
• Pouya Afshar MD Inc

  • Specialist
  • San Diego, CA
  • NPI 1710336094

  Single Specialty

  Medicare reassignment NPD
• Vitality Ageless Center LLC

  • Multi-Specialty Clinic/Center
  • Suwanee, GA
  • NPI 1730657271

  CA, Single Specialty

  Medicare reassignment NPD
• Alicja Steiner MD a Professional Medical Corporation

  • Pain Medicine (Anesthesiology) Physician
  • San Diego, CA
  • NPI 1093819419
  Medicare reassignment
• Cal Sport Physical Medicine Inc

  • Internal Medicine Physician
  • Oakdale, CA
  • NPI 1952868218

  Single Specialty

  NPD
• Lightbridge Hospice, LLC

  • Community Based Hospice Care Agency
  • San Diego, CA
  • NPI 1154320299
  NPD (past)

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1083982987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 HEALTH CENTER DR STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232773",
            "telephone_number": "858-637-7888",
            "fax_number": "858-362-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 HEALTH CENTER DR STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232773",
            "telephone_number": "858-637-7888",
            "fax_number": "858-637-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPEC",
        "first_name": "KORNELIA",
        "middle_name": "ANNA",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-06",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "CA",
            "license": "672382",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NPF95004764",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95004764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy J Koontz, NP
• Tatiana Koontz, LM, CPM
• Austin Koop, RBT
• Koorosh Kooros, M.D.
• Madeline Kop
• Ryan T Kopec, PHARMD
• Geoffrey Robert Kopecky, DDS
• Dakendra Kopelke
• Jared Michael Kopelman, MD, PHD
• Sydonie Kopels

• Family Nurse Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.

Verify at the official NPI Registry.