Individual provider Active NPI

Joshua Mendez Opperman, PHYSICIAN ASSISTANT

  • Medical Physician Assistant
  • Sacramento, CA
National Provider Identifier
1467623975
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
I9597 Issued in CA
Practice address
2020 J Street
Snahc
Sacramento, CA 95811-3120
Phone
(916) 341-0575
Fax
(916) 341-0122
NPI assigned
Mar 12, 2008
Last updated
Mar 2, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X I9597 CA Primary

Addresses

Primary practice location

2020 J Street
Snahc
Sacramento, CA 95811-3120

Mailing address

6555 Coyle Ave
Ste 330
Carmichael, CA 95608-0303
Phone (916) 341-0575

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
I20081212000398 CA Practitioner - Physician Assistant 0840351581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Feather River Tribal Health IncGroup PAC ID 4284799628, 29 clinicians

Practice addresses (Care Compare)

2145 5TH Ave
Oroville, CA 95965-5870
Phone (530) 534-5394

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19597CAMDMental Health Counselor
I9597CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Feather River Tribal Health Inc Past Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456876800000",
    "number": "1467623975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6555 COYLE AVE",
            "address_2": "STE 330",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080303",
            "telephone_number": "916-341-0575",
            "fax_number": "916-341-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 J STREET",
            "address_2": "SNAHC",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958113120",
            "telephone_number": "916-341-0575",
            "fax_number": "916-341-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPPERMAN",
        "first_name": "JOSHUA",
        "middle_name": "MENDEZ",
        "name_prefix": "Mr.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-12",
        "last_updated": "2016-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "I9597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.