Individual provider Active NPI

Kyle Hopkins, DPM

  • Podiatrist
  • Los Angeles, CA
National Provider Identifier
1174045447
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC006869 Issued in PA
Practice address
1711 W Temple St # 3036
Los Angeles, CA 90026-5421
Phone
(213) 365-0793
NPI assigned
Jul 8, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC006869 PA Primary

Addresses

Primary practice location

1711 W Temple St # 3036
Los Angeles, CA 90026-5421

Mailing address

1700 S Lincoln Ave
Lebanon, PA 17042-7529

Other practice location 1

1672 W Avenue J Ste 201
Lancaster, CA 93534-2861
Phone (661) 945-3628

Other practice location 2

1700 S Lincoln Ave
Lebanon, PA 17042-7529
Phone (717) 272-6621 ext. 4284

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190701001961 CA Practitioner - Podiatry 3678807294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avors Medical GroupGroup PAC ID 6901989904, 18 clinicians

Practice addresses (Care Compare)

42135 10TH St W
Suite 101
Lancaster, CA 93534-7099
Phone (661) 726-5005

Hospital & facility affiliations

  • Palmdale Regional Medical Center Hospital, Palmdale, CA, CCN 050204
  • Antelope Valley Hospital Hospital, Lancaster, CA, CCN 050056
  • Uf Health Leesburg Hospital Hospital, Leesburg, FL, CCN 100084

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue50
Removal of nail tissue261
Removal or shaving of skin growth72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC006869PAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Avors Medical Group CurrentSince Nov 16, 2020 Accepting new patients

Locations

42135 10th St W
Ste 101
Lancaster, CA 93534
Phone (661) 341-3800

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: avors.kylehopkins@133862.advancedmd-direct.com

Organizations & group practices 1

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1499472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1174045447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 S LINCOLN AVE",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 W TEMPLE ST # 3036",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900265421",
            "telephone_number": "213-365-0793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1672 W Avenue J Ste 201",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935342861",
            "country_code": "US",
            "telephone_number": "661-945-3628",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 S Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170427529",
            "country_code": "US",
            "telephone_number": "717-272-6621 x4284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOPKINS",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-08",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC006869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.