Active NPI
Ian Christopher Hopper, DO
- Pediatrics Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 20A19517
- Practice address
- 1975 4TH St FL 3
San Francisco, CA 94143-2351 - Phone
- (415) 353-1565
- NPI assigned
- Mar 29, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 125.074943 | IL | |
| Pediatrics Physician | 208000000X | 20A19517 | CA | Primary |
Addresses
Primary practice location
1975 4TH St FL 3
San Francisco, CA 94143-2351
Mailing address
1179 N McDowell Blvd
Petaluma, CA 94954-1110
Phone (707) 559-7500
Other practice location 1
1179 N McDowell Blvd
Petaluma, CA 94954-6559
Phone (707) 559-7500
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.074943 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Petaluma Health Center Inc | Past | Accepting new patients | |
| Petaluma Health Center Inc | Past | Accepting new patients | |
| SRM Alliance Hospital Services | Past | Accepting new patients | |
| Providence Medical Foundation | Past | Accepting new patients |
Locations
200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841
1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300
1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210
500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842
Interoperability endpoints
- ihopper614033@direct.ochin.org
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 and National Provider Directory roles.
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- Family Medicine Physician
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- NPI 1871607762
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- General Practice Physician
- Diamond Bar, CA
- NPI 1285890624
-
- Surgery Physician
- Eureka, CA
- NPI 1477790517
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
-
- Federally Qualified Health Center (FQHC)
- Petaluma, CA
- NPI 1588656268
-
- Federally Qualified Health Center (FQHC)
- Rohnert Park, CA
- NPI 1669870739
-
- Skilled Nursing Facility
- Petaluma, CA
- NPI 1770703886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1396206587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1179 N MCDOWELL BLVD",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949541110",
"telephone_number": "707-559-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1975 4TH ST FL 3",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941432351",
"telephone_number": "415-353-1565"
}
],
"practiceLocations": [
{
"address_1": "1179 N McDowell Blvd",
"address_purpose": "LOCATION",
"city": "Petaluma",
"state": "CA",
"postal_code": "949546559",
"country_code": "US",
"telephone_number": "707-559-7500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOPPER",
"first_name": "IAN",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-29",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "125.074943",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "20A19517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.