Individual provider Active NPI

Nicole Klopovic, PA-C

  • Physician Assistant
  • Sacramento, CA
National Provider Identifier
1447798111
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
54175 Issued in CA
Practice address
1651 Exposition Blvd
Sacramento, CA 95815-5149
Phone
(916) 731-7728
Fax
(916) 731-7815
NPI assigned
Feb 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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 54175 CA Primary

Addresses

Primary practice location

1651 Exposition Blvd
Sacramento, CA 95815-5149

Mailing address

PO Box 255228
Sacramento, CA 95865-5228
Phone (800) 470-0010

Other practice location 1

9045 Bruceville Rd Ste 100
Elk Grove, CA 95758-5950
Phone (916) 479-9110

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170814001306 CA Practitioner - Physician Assistant 8729359518 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Natomas Urgent Care IncGroup PAC ID 4880937333, 5 clinicians
Davis Urgent Care IncGroup PAC ID 3779884937, 8 clinicians
Capitol Urgent Care IncGroup PAC ID 5294992343, 12 clinicians
Elk Grove Urgent Care IncGroup PAC ID 0648340976, 15 clinicians

Practice addresses (Care Compare)

4321 Truxel Rd
Suite F4
Sacramento, CA 95834-3753
Phone (916) 947-9110

4515 Fermi PL
Suite 105
Davis, CA 95618-9411
Phone (530) 759-9110

7200 S Land Park Dr
Suite 100
Sacramento, CA 95831-3669
Phone (916) 422-9110

9045 Bruceville Rd
Elk Grove, CA 95758-5950
Phone (916) 479-9110

9045 Bruceville Rd
Suite 100
Elk Grove, CA 95758-5948

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54175CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California CurrentSince Apr 1, 2018 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Apr 20, 2026 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Apr 20, 2026 Accepting new patients
Sutter Valley Medical Foundation Physician Assistant Past Accepting new patients

Locations

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

1650 Creekside Dr
Folsom, CA 95630
Phone (916) 983-7400

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1 Medical Plaza Dr
Roseville, CA 95661
Phone (916) 781-1000

1651 Exposition Blvd
Sacramento, CA 95815
Phone (916) 731-7728

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1447798111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255228",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958655228",
            "telephone_number": "800-470-0010",
            "fax_number": "916-854-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 EXPOSITION BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958155149",
            "telephone_number": "916-731-7728",
            "fax_number": "916-731-7815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9045 Bruceville Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Elk Grove",
            "state": "CA",
            "postal_code": "957585950",
            "country_code": "US",
            "telephone_number": "916-479-9110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLOPOVIC",
        "first_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-02",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "54175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.