Kurtis Milo Opp, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA 12875 Issued in CA

Practice address

45 Castro St
Suite 332
San Francisco, CA 94114-1010

Phone

(415) 861-2600

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Stanford University School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ingrid Roseborough MD PCGroup PAC ID 7012161243, 2 clinicians

Tina Bhutani-Jacques MD IncGroup PAC ID 6305285446, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Tina Bhutani-Jacques, MD, Inc

  • Dermatology Physician
  • San Francisco, CA
  • NPI 1174385652
  Medicare reassignment Care Compare group NPD
• Ingrid Roseborough, MD, PC

  • Dermatology Physician
  • Oakland, CA
  • NPI 1285983197
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1275627796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 CASTRO ST",
            "address_2": "SUITE 332",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141010",
            "telephone_number": "415-861-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 CASTRO ST",
            "address_2": "SUITE 332",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141010",
            "telephone_number": "415-861-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPP",
        "first_name": "KURTIS",
        "middle_name": "MILO",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA 12875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David R. Oorbeck, L. AC.
• Lori E. Opal, MFT
• Peter J. Opdyke
• Annalise Ophelian, PSYD
• Abena Akufo Opoku, MD
• Madison Oppenheim, PHARMD
• Opt Health Ca PC
• Opt Optometric PC
• Optimus Medical Group Inc
• Optum Behavioral Care of California, P.C.

• Medical Physician Assistant in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.
• 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.