Individual provider Active NPI

Sarah Nichole Noppen, D.O.

  • Obstetrics & Gynecology Physician
  • Apple Valley, CA
National Provider Identifier
1649533274
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
20A18175 Issued in CA
Practice address
19341 Bear Valley Rd Ste 105
Apple Valley, CA 92308-5152
Phone
(760) 247-6444
Fax
(760) 947-5619
NPI assigned
Jun 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 5101020048 MI
Obstetrics & Gynecology Physician 207V00000X 20A18175 CA Primary

Addresses

Primary practice location

19341 Bear Valley Rd Ste 105
Apple Valley, CA 92308-5152

Mailing address

19341 Bear Valley Rd Ste 105
Apple Valley, CA 92308-5152
Phone (760) 247-6444

Other practice location 1

77 Nealy Avenue
633d Medical Group
Joint Base Langley-Eustis, VA 23665-2040
Phone (757) 225-7630

Other names 1

  • Sarah Steele Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sarahnoppen@sjhhandhmg.allscriptsdirect.net

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200624003315 CA Practitioner - Obstetrics/Gynecology 5294979134 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

19341 Bear Valley Rd
Suite 105
Apple Valley, CA 92308-5152
Phone (760) 240-7485

Hospital & facility affiliations

  • Providence St Mary Medical Center Hospital, Apple Valley, CA, CCN 050300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A18175CAMDObstetrics & Gynecology Physician
18175CAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation CurrentSince Jun 22, 2020 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince May 11, 2022 Accepting new patients
Providence Medical Foundation CurrentSince Jun 22, 2020 Accepting new patients
Providence Medical Foundation Obstetrics & Gynecology Past Accepting new patients
St. Mary Medical Center Past Accepting new patients

Locations

200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841

19341 Bear Valley Rd
Ste 105
Apple Valley, CA 92308
Phone (760) 240-7485

19333 Bear Valley Rd
Ste 106
Apple Valley, CA 92308
Phone (760) 240-5505

18300 Outer Highway 18
Apple Valley, CA 92307
Phone (760) 946-8873

350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

12550 Hesperia Rd
Ste 100
Victorville, CA 92395

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: snoppen1374574@oc.providencedirect.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1649533274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19341 BEAR VALLEY RD STE 105",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923085152",
            "telephone_number": "760-247-6444",
            "fax_number": "760-947-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19341 BEAR VALLEY RD STE 105",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923085152",
            "telephone_number": "760-247-6444",
            "fax_number": "760-947-5619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 Nealy Avenue",
            "address_2": "633d Medical Group",
            "address_purpose": "LOCATION",
            "city": "Joint Base Langley-Eustis",
            "state": "VA",
            "postal_code": "236652040",
            "country_code": "US",
            "telephone_number": "757-225-7630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOPPEN",
        "first_name": "SARAH",
        "middle_name": "NICHOLE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101020048",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "20A18175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sarahnoppen@sjhhandhmg.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "19341 Bear Valley Rd Ste 105",
            "city": "Apple Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923085152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "STEELE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Apple Valley, CA

Sources for this page

Verify at the official NPI Registry.