NPIMap

Individual provider Active NPI

Keren Akakpo, PA-C

  • Orthopaedic Surgery Physician
  • Sonora, CA
National Provider Identifier
1639627938
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
PA65189 Issued in CA
Practice address
680 Guzzi LN Ste 105
Sonora, CA 95370-5288
Phone
(209) 532-0126
NPI assigned
Sep 14, 2016
Last updated
Dec 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X PA65189 CA Primary

Addresses

Primary practice location

680 Guzzi LN Ste 105
Sonora, CA 95370-5288

Mailing address

680 Guzzi LN Ste 105
Sonora, CA 95370-5288
Phone (209) 532-0126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231103001461 KY Practitioner - Physician Assistant 1850748492 Reassigns benefits to 1 organization
I20250106000517 CA Practitioner - Physician Assistant 1850748492 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sonora Community HospitalGroup PAC ID 4284538505, shared by 10 NPIs, 134 clinicians

Practice addresses (Care Compare)

900 Greenley Rd
Suite 914
Sonora, CA 95370-5287
Phone (209) 536-5778

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA65189CAMDOrthopaedic Surgery Physician
TC070KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sonora Community Hospital Orthopaedic Surgery CurrentSince Jan 6, 2025 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Nov 1, 2023 Accepting new patients
Sonora Community Hospital CurrentSince Jan 6, 2025 Accepting new patients
Sonora Community Hospital CurrentSince Jan 6, 2025 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Nov 1, 2023 Accepting new patients
Sonora Community Hospital Past Accepting new patients

Locations

1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803

12811 Covey Cir
Sonora, CA 95370
Phone (209) 536-1785

193 Fairview Ln
Sonora, CA 95370
Phone (209) 536-5100

193 Fairview Ln
Ste C
Sonora, CA 95370
Phone (209) 532-3124

680 Guzzi Ln
Ste 105
Sonora, CA 95370
Phone (209) 532-0126

900 Greenley Rd
Ste 914
Sonora, CA 95370
Phone (209) 532-6128

1740 Nicholasville Rd
Lexington, KY 40503
Phone (859) 260-6100

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

Organizations & group practices 9

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 12

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": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1639627938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 GUZZI LN STE 105",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705288",
            "telephone_number": "209-532-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 GUZZI LN STE 105",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705288",
            "telephone_number": "209-532-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKAKPO",
        "first_name": "KEREN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-14",
        "last_updated": "2024-12-10",
        "certification_date": "2024-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "PA65189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonora, CA

Sources for this page

Verify at the official NPI Registry.