Active NPI
Joel Paul Popson, MD
- Family Medicine Physician
- Calabasas, CA
National Provider Identifier
1164585196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G52816
- Practice address
- 3561 Pansy Dr
Calabasas, CA 91302-2072 - Phone
- (818) 222-8464
- NPI assigned
- Dec 19, 2006
- 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 | G52816 | CA | Primary |
Addresses
Primary practice location
3561 Pansy Dr
Calabasas, CA 91302-2072
Mailing address
3561 Pansy Dr
Calabasas, CA 91302-2072
Phone (818) 222-8464
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151211002300 | CA | Order and Referring Only - Family Practice | 4385794312 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164585196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3561 PANSY DR",
"city": "CALABASAS",
"state": "CA",
"postal_code": "913022072",
"telephone_number": "818-222-8464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3561 PANSY DR",
"city": "CALABASAS",
"state": "CA",
"postal_code": "913022072",
"telephone_number": "818-222-8464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPSON",
"first_name": "JOEL",
"middle_name": "PAUL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G52816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Calabasas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.