Individual provider Active NPI

Jessica Poplawski

  • Family Medicine Physician
  • Costa Mesa, CA
National Provider Identifier
1386172948
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
82542 Issued in GA
Practice address
2077 Harbor Blvd Ste 100
Costa Mesa, CA 92627-9384
Phone
(949) 740-7117
NPI assigned
May 26, 2017
Last updated
Jul 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 82542 GA Primary

Addresses

Primary practice location

2077 Harbor Blvd Ste 100
Costa Mesa, CA 92627-9384

Mailing address

1120 15TH St
Augusta, GA 30912-0004

Other practice location 1

1120 15th St
Augusta, GA 30912-0004
Phone (706) 721-7005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NY, TX, MI, CA5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20200925002004 GA Practitioner - Family Practice 4789959354 Reassigns benefits to 2 organizations
I20210820001578 NY Practitioner - Family Practice 4789959354
I20231212001358 TX Practitioner - Family PracticePractitioner - Addiction Medicine 4789959354 Reassigns benefits to 1 organization
I20241031000779 MI Practitioner - Family Practice 4789959354 Reassigns benefits to 1 organization
I20250701004621 CA Practitioner - Family Practice 4789959354 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of Ny Upstate Medical University, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerhealth Medical Group IncGroup PAC ID 8820522006, 9 clinicians

Practice addresses (Care Compare)

2077 Harbor Blvd
Suite 100
Costa Mesa, CA 92627-9384
Phone (949) 740-7117

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
82542GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerhealth Medical Group Inc CurrentSince Jun 1, 2025 Accepting new patients
American Current Care of California, a Medical Corporation CurrentSince Jul 10, 2025 Accepting new patients
American Current Care of California, a Medical Corporation Current Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Jul 17, 2020 Accepting new patients
American Current Care of California, a Medical Corporation CurrentSince Jul 10, 2025 Accepting new patients
Kevin Pham, M.D., Inc PastSince Jun 1, 2025 Accepting new patients

Locations

1800 Westwind Dr
Ste 301
Bakersfield, CA 93301
Phone (661) 327-9617

2077 Harbor Blvd
Ste 100
Costa Mesa, CA 92627
Phone (949) 740-7117

2077 Harbor Blvd
Ste A
Costa Mesa, CA 92627
Phone (949) 414-2934

2555 S East Ave
Fresno, CA 93706
Phone (559) 499-2400

1340 Mitchell Rd
Modesto, CA 95351
Phone (209) 581-9711

25115 Madison Ave
Murrieta, CA 92562
Phone (951) 600-9070

1101 S Milliken Ave
Ste C
Ontario, CA 91761
Phone (909) 390-2799

1851 Lombard St
Ste 100
Oxnard, CA 93030
Phone (805) 983-2234

640 S Placentia Ave
Placentia, CA 92870
Phone (714) 579-7772

2 Connecticut St
San Francisco, CA 94107
Phone (415) 621-5055

2587 Merced St
San Leandro, CA 94577
Phone (510) 351-3553

740 Nordahl Rd
Ste 131
San Marcos, CA 92069
Phone (760) 432-9000

988 Walsh Ave
Santa Clara, CA 95050
Phone (408) 988-6868

1221 N Dutton Ave
Santa Rosa, CA 95401
Phone (707) 543-8360

3 S Linden Ave
South San Francisco, CA 94080
Phone (650) 238-1500

3663 Arch Rd
Ste 400
Stockton, CA 95215
Phone (209) 943-2202

21081 S Western Ave
Ste 150
Torrance, CA 90501
Phone (310) 782-3333

3680 Industrial Blvd
Ste 550H
West Sacramento, CA 95691
Phone (916) 373-7575

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1386172948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 15TH ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2077 HARBOR BLVD STE 100",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926279384",
            "telephone_number": "949-740-7117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 15th St",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309120004",
            "country_code": "US",
            "telephone_number": "706-721-7005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POPLAWSKI",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-26",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "82542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

Verify at the official NPI Registry.