NPIMap

Individual provider Active NPI

Jonathan Konopinski

  • Anatomic Pathology & Clinical Pathology Physician
  • Sacramento, CA
National Provider Identifier
1629497185
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
01082334A Issued in IN
Practice address
3301 C St Ste 200E
Sacramento, CA 95816-3363
Phone
(800) 465-3203
NPI assigned
Apr 14, 2014
Last updated
Nov 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 01082334A IN Primary

Addresses

Primary practice location

3301 C St Ste 200E
Sacramento, CA 95816-3363

Mailing address

3301 C St Ste 200E
Sacramento, CA 95816-3363
Phone (800) 465-3203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240722002356 CA Practitioner - Pathology 2365794047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Baylor College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3301 C St
200E
Sacramento, CA 95816-3363
Phone (916) 446-0424

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01082334AINMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Pathology Medical Group Inc Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2024 Accepting new patients
Lodi Memorial Hospital Association Inc Current Accepting new patients
Diagnostic Pathology Medical Group, Inc. Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2024 Accepting new patients
South Bend Medical Foundation, Inc Anatomic Pathology & Clinical Pathology CurrentSince Jul 17, 2019 Accepting new patients
Diagnostic Pathology Medical Group Inc Current Accepting new patients
Diagnostic Pathology Medical Group Inc Anatomic Pathology & Clinical Pathology Current Accepting new patients
Diagnostic Pathology Medical Group Inc Anatomic Pathology & Clinical Pathology Past Accepting new patients
Diagnostic Pathology Medical Group Inc Anatomic Pathology & Clinical Pathology Past Accepting new patients
Diagnostic Pathology Medical Group Inc. Past Accepting new patients
Diagnostic Pathology Medical Group Inc Past Accepting new patients
Diagnostic Pathology Medical Group Inc Anatomic Pathology & Clinical Pathology Past Accepting new patients
Diagnostic Pathology Medical Group Inc Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

11815 Education St
Auburn, CA 95602
Phone (530) 447-6267

2000 Sutter Pl
Davis, CA 95616
Phone (530) 756-6440

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

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

2420 J St
Sacramento, CA 95816
Phone (916) 446-0424

2801 K St
Ste 235
Sacramento, CA 95816
Phone (916) 733-5073

2825 Capitol Ave
Sacramento, CA 95816
Phone (916) 887-0000

3301 C St
Ste 200E
Sacramento, CA 95816
Phone (916) 446-0424

4001 J St
Sacramento, CA 95819
Phone (916) 453-4037

7500 Hospital Dr
Sacramento, CA 95823
Phone (916) 423-3000

300 Hospital Dr
Vallejo, CA 94589
Phone (707) 554-4107

3355 Douglas Rd
South Bend, IN 46635
Phone (574) 234-4176

530 N Lafayette Blvd
South Bend, IN 46601
Phone (574) 204-5206

1600 Medical Pkwy
Carson City, NV 89703
Phone (775) 220-9149

5700 Southwyck Blvd
Toledo, OH 43614

Organizations & group practices 12

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": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1629497185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 C ST STE 200E",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958163363",
            "telephone_number": "800-465-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 C ST STE 200E",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958163363",
            "telephone_number": "800-465-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONOPINSKI",
        "first_name": "JONATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-14",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IN",
            "license": "01082334A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.