NPIMap

Individual provider Active NPI

Kimberly M Opitz, MPA, PA-C

  • Physician Assistant
  • Napa, CA
National Provider Identifier
1376875872
Registry record updated Nov 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA20736 Issued in CA
Practice address
3273 Claremont Way
Suite 100
Napa, CA 94558-3328
Phone
(707) 254-7117
Fax
(707) 265-6435
NPI assigned
Feb 8, 2010
Last updated
Nov 11, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA20736 CA Primary

Addresses

Primary practice location

3273 Claremont Way
Suite 100
Napa, CA 94558-3328

Mailing address

PO Box 2059
Napa, CA 94558-3328
Phone (707) 254-7117

Other identifiers 1

IdentifierTypeStateIssuer
GR0102820MedicaidCA

Other names 1

  • Kimberly M Aceres Former name

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
I20101113000018 CA Practitioner - Physician Assistant 7618162801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Napa Valley Orthopaedic Medical Group IncGroup PAC ID 4688636699, 17 clinicians

Practice addresses (Care Compare)

3273 Claremont Way
Suite 100
Napa, CA 94558-3328
Phone (707) 254-7117

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.2 of 100Reported as group
Promoting interoperability
92
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
20736CAMDRadiology Chiropractor
PA20736CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph Health Northern California, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kopitz@napavalleyortho.emadirect.md

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1265587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289433600000",
    "number": "1376875872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2059",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583328",
            "telephone_number": "707-254-7117",
            "fax_number": "707-265-6435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3273 CLAREMONT WAY",
            "address_2": "SUITE 100",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583328",
            "telephone_number": "707-254-7117",
            "fax_number": "707-265-6435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPITZ",
        "first_name": "KIMBERLY",
        "middle_name": "M",
        "credential": "MPA, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-08",
        "last_updated": "2010-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA20736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0102820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "ACERES",
            "middle_name": "M",
            "credential": "MPA, PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.