NPIMap

Individual provider Active NPI

Joanna Kopacz, MD

  • Infectious Disease Physician
  • Laguna Hills, CA
National Provider Identifier
1275792368
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
A128174 Issued in CA
Practice address
24411 Health Center Dr Ste 560
Laguna Hills, CA 92653-3687
Phone
(949) 218-7251
NPI assigned
Jun 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 262583 NY
Infectious Disease Physician 207RI0200X A128174 CA Primary

Addresses

Primary practice location

24411 Health Center Dr Ste 560
Laguna Hills, CA 92653-3687

Mailing address

PO Box 29491
Saint Louis, MO 63126-7491
Phone (949) 218-7251

Other identifiers 1

IdentifierTypeStateIssuer
A128174OtherCASTATE MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140723001428 CA Practitioner - Infectious DiseasePractitioner - Geriatric MedicinePractitioner - Internal Medicine 1355515669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Geriatric Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

24411 Health Ctr Dr
Suite 560
Laguna Hills, CA 92653-3687
Phone (949) 218-7251

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A128174CAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joanna Kopacz, MD Inc. Infectious Disease CurrentSince Mar 28, 2016 Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Newyork-Presbyterian-Queens Past Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients

Locations

24411 Health Center Dr
Ste 560
Laguna Hills, CA 92653
Phone (949) 452-0061

24451 Health Center Dr
Laguna Hills, CA 92653
Phone (949) 452-3573

27800 Medical Center Rd
Ste 264
Mission Viejo, CA 92691
Phone (949) 218-7251

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: jkopaczmd234285@direct.memorialcare.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 5

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": "1212537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1275792368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29491",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631267491",
            "telephone_number": "949-218-7251",
            "fax_number": "949-209-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24411 HEALTH CENTER DR STE 560",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533687",
            "telephone_number": "949-218-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPACZ",
        "first_name": "JOANNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-04",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "262583",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A128174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "A128174",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.