Organization Active NPI

Stephen Hopkins MD Medical Corporation

  • Surgery Physician
  • Sonora, CA
National Provider Identifier
1487188280
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
STEPHEN HOPKINS MD MEDICAL CORPORATION
Practice address
680 Guzzi LN
Suite 103
Sonora, CA 95370-5288
Phone
(209) 532-5528
Fax
(209) 532-5598
NPI assigned
Apr 18, 2017
Last updated
Apr 18, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Authorized official

Name
Dr. Stephen James Hopkins, M.D.NPI 1265498539
Title
President and Treasurer
Phone
(209) 532-5528

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X CA Primary
Phlebology Physician 202K00000X CA

Addresses

Primary practice location

680 Guzzi LN
Suite 103
Sonora, CA 95370-5288

Mailing address

680 Guzzi LN
Suite 103
Sonora, CA 95370-5288
Phone (209) 532-5528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170517001258 CA Part B Supplier - Clinic/Group Practice 2860769114 Receives reassigned benefits from 1 practitioner
Practice locations: Sonora, CA

National Provider Directory

National Provider Directory

Locations

223 Clinton Rd
Ste 202
Jackson, CA 95642

680 Guzzi Ln
Ste 103
Sonora, CA 95370
Phone (209) 532-5528

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1487188280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 GUZZI LN",
            "address_2": "SUITE 103",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705288",
            "telephone_number": "209-532-5528",
            "fax_number": "209-532-5598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 GUZZI LN",
            "address_2": "SUITE 103",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705288",
            "telephone_number": "209-532-5528",
            "fax_number": "209-532-5598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN HOPKINS MD MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "HOPKINS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT AND TREASURER",
        "authorized_official_telephone_number": "209-532-5528",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.