Roberta Marie Klopf, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

14859 Issued in CA

Practice address

1496 N Beale Rd
Marysville, CA 95901-6205

Phone

(530) 749-8640

Fax

(530) 749-8646

NPI assigned

May 4, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Addiction Treatment Services Inc

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Yuba City, CA
  • NPI 1457563074
  NPD (past) Authorized official
• American Addiction Treatment Services Inc

  • Methadone Clinic
  • Marysville, CA
  • NPI 1275804205
  NPD (past)

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497967004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 HILLCREST AVE",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959915718",
            "telephone_number": "530-673-3873",
            "fax_number": "530-673-3873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1496 N BEALE RD",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959016205",
            "telephone_number": "530-749-8640",
            "fax_number": "530-749-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOPF",
        "first_name": "ROBERTA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "14859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destiny Kilpatrick
• Aditi Srinivasa Kini, M.S., CCC-SLP
• Deborah Jo Kirksey
• Peter Alan Kirkup
• Nicole Marie Kloncz
• Joanna Lee Knight, M.S.
• John Knoten Jr., RASI
• Davonna Marie Kornagay Fletcher
• Stephen Kotarek, PA
• Amanda Nicole Ku, MS, CCC-SLP

• Physician Assistant in Marysville, CA
• Providers in Marysville, CA by specialty
• Physician Assistant in California

• 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.

Verify at the official NPI Registry.