Individual provider Active NPI

Paula L Kopf, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Sylmar, CA
National Provider Identifier
1144237157
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
423572/12196 Issued in CA
Practice address
14445 Olive View Dr
Olive View UCLA Medical Center
Sylmar, CA 91342
Phone
(818) 364-4418
Fax
(818) 364-4538
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 423572/12196 CA Primary

Addresses

Primary practice location

14445 Olive View Dr
Olive View UCLA Medical Center
Sylmar, CA 91342

Mailing address

8943 Fenwick St
Sunland, CA 91040-1767
Phone (818) 352-1229

Other names 1

  • Ms. Paula L Rutan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
12196CAMDSpeech-Language Pathologist
423572/12196CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144237157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8943 FENWICK ST",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910401767",
            "telephone_number": "818-352-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14445 OLIVE VIEW DR",
            "address_2": "OLIVE VIEW UCLA MEDICAL CENTER",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "91342",
            "telephone_number": "818-364-4418",
            "fax_number": "818-364-4538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPF",
        "first_name": "PAULA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "423572/12196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULA",
            "last_name": "RUTAN",
            "middle_name": "L",
            "prefix": "MS.",
            "credential": "NURSE PRACTITIONER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sylmar, CA

Sources for this page

Verify at the official NPI Registry.