Individual provider Active NPI

Kirandeep K Boparai, P.T.

  • Physical Therapist
  • Yuba City, CA
National Provider Identifier
1184946543
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27737 Issued in CA
Practice address
1110 Civic Center Blvd Ste 502
Yuba City, CA 95993-3015
Phone
(530) 671-7977
Fax
(530) 671-6163
NPI assigned
Feb 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 27737 CA Primary

Addresses

Primary practice location

1110 Civic Center Blvd Ste 502
Yuba City, CA 95993-3015

Mailing address

1866 Rolling Rock CT
Yuba City, CA 95993-1425
Phone (530) 923-7172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100610001167 CA Practitioner - Physical Therapist in Private Practice 2466582861 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sierra Physical Therapy IncGroup PAC ID 9032508981, 2 clinicians

Practice addresses (Care Compare)

1110 Civic Ctr Blvd
Suite 502
Yuba City, CA 95993-3015
Phone (530) 671-7977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27737CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Management Services Inc. Physical Therapist CurrentSince Mar 1, 2012 Accepting new patients
Advanced Spinal Rehabilitation, Inc. Past Accepting new patients
Advanced Spinal Rehabilitation, Inc. PastSince Apr 1, 2013 Accepting new patients

Locations

1110 Civic Center Blvd
Ste 502
Yuba City, CA 95993
Phone (530) 671-7770

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.

NPI Registry JSON

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1184946543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1866 ROLLING ROCK CT",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959931425",
            "telephone_number": "530-923-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 CIVIC CENTER BLVD STE 502",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959933015",
            "telephone_number": "530-671-7977",
            "fax_number": "530-671-6163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOPARAI",
        "first_name": "KIRANDEEP",
        "middle_name": "K",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-25",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "27737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.