Active NPI
Kimberly Lynn Lopipero, PA
- Medical Physician Assistant
- San Diego, CA
National Provider Identifier
1467533596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 18448
- Practice address
- 5575 Ruffin Rd Ste 100
San Diego, CA 92123-1361 - Phone
- (858) 565-1300
- Fax
- (858) 565-6932
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 18448 | CA | Primary |
| Medical Physician Assistant | 363AM0700X | 009862-1 | NY |
Addresses
Primary practice location
5575 Ruffin Rd Ste 100
San Diego, CA 92123-1361
Mailing address
3966 Lamont St
San Diego, CA 92109
Phone (585) 259-1037
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18448 | CA | MD | Acupuncturist |
| 009862-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 19TH Avenue Clinic LLC | Past | Accepting new patients | |
| Center for Physical Medicine & Rehabilitation P C | Past | Accepting new patients | |
| Med 97 LLC | Past | Accepting new patients | |
| Gold Star Medical LLC | Past | Accepting new patients |
Organizations & group practices 4
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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- Physical Medicine & Rehabilitation Physician
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- NPI 1306959218
-
- Urgent Care Clinic/Center
- Phoenix, AZ
- NPI 1164727665
-
- Urgent Care Clinic/Center
- Phoenix, AZ
- NPI 1487631883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467533596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3966 LAMONT ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92109",
"telephone_number": "585-259-1037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5575 RUFFIN RD STE 100",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231361",
"telephone_number": "858-565-1300",
"fax_number": "858-565-6932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPIPERO",
"first_name": "KIMBERLY",
"middle_name": "LYNN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "18448",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "009862-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.