Stephen Kolpacoff, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G61132 Issued in CA

Practice address

101 E Oberlin Rd
Yreka, CA 96097-9645

Phone

(530) 841-8513

Fax

(530) 842-9640

NPI assigned

Jun 9, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Steve Kolpacoff MD

  dba Stephen Kolpacoff MD

  • Internal Medicine Physician
  • Yreka, CA
  • NPI 1518138544
  NPD (past) Authorized official

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1437153384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E OBERLIN RD",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960979645",
            "telephone_number": "530-841-8513",
            "fax_number": "530-842-9640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E OBERLIN RD",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960979645",
            "telephone_number": "530-841-8513",
            "fax_number": "530-842-9640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLPACOFF",
        "first_name": "STEPHEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G61132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080021773",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alisha Romdule Khieu
• Saekyu Robert Kim, M.D.
• KJL Consultants Inc (Luke's Yreka Drug)
• Melinda Alice Klepach
• Dmitri Edward Kolpacoff, MS
• Kristin Rene Kopplin, PHD
• KP1 and 2 Inc
• Anne J Kramer, PHD
• Randy D Krant, D.D.S.
• Judy Lachance, BA

• Family Medicine Physician in Yreka, CA
• Providers in Yreka, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; 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.

Verify at the official NPI Registry.