Organization Active NPI

Milan L Hopkins, M.D., a Medical Corporation

  • General Practice Physician
  • Upper Lake, CA
National Provider Identifier
1235158262
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
C344060 Issued in CA
Legal business name
MILAN L HOPKINS, M.D., A MEDICAL CORPORATION
Practice address
9425 Main St
Upper Lake, CA 95485-9602
Phone
(707) 275-2366
Fax
(707) 275-9043
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Authorized official

Name
Kyung J Hopkins
Title
Secretary
Phone
(213) 220-9064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X C344060 CA Primary

Addresses

Primary practice location

9425 Main St
Upper Lake, CA 95485-9602

Mailing address

PO Box 638
Upper Lake, CA 95485
Phone (707) 275-2366

Other practice location 1

9479 Main Street
Upper Lake, CA 95485
Phone (707) 275-2366

Other identifiers 1

IdentifierTypeStateIssuer
00C344060OtherCAMEDICAL

National Provider Directory

National Provider Directory

Locations

9425 Main St
Upper Lake, CA 95485
Phone (707) 275-2366

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1235158262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 638",
            "city": "UPPER LAKE",
            "state": "CA",
            "postal_code": "95485",
            "telephone_number": "707-275-2366",
            "fax_number": "707-275-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9425 MAIN ST",
            "city": "UPPER LAKE",
            "state": "CA",
            "postal_code": "954859602",
            "telephone_number": "707-275-2366",
            "fax_number": "707-275-9043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9479 Main Street",
            "address_purpose": "LOCATION",
            "city": "Upper Lake",
            "state": "CA",
            "postal_code": "95485",
            "country_code": "US",
            "telephone_number": "707-275-2366",
            "fax_number": "707-275-9043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MILAN L HOPKINS, M.D., A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "HOPKINS",
        "authorized_official_first_name": "KYUNG",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "213-220-9064"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "C344060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "00C344060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Lake, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.