Individual provider Active NPI

Jodi Michele Choplin, NP

  • Family Nurse Practitioner
  • Walnut Creek, CA
National Provider Identifier
1790552305
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95028017 Issued in CA
Practice address
120 La Casa Via Ste 208
Walnut Creek, CA 94598-3007
Phone
(925) 935-1070
NPI assigned
Dec 5, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95028017 CA Primary

Addresses

Primary practice location

120 La Casa Via Ste 208
Walnut Creek, CA 94598-3007

Mailing address

1000 Powell St Apt 53
San Francisco, CA 94108-1562
Phone (415) 589-1945

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240207003684 CA Practitioner - Nurse Practitioner 8921441825

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group Current Accepting new patients
Bass Medical Group CurrentSince Jan 30, 2024 Accepting new patients
Bass Medical Group CurrentSince Jan 30, 2024 Accepting new patients
Bass Medical Group Past Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

120 La Casa Via
Ste 208
Walnut Creek, CA 94598
Phone (925) 256-4045

2637 Shadelands Dr
Walnut Creek, CA 94598
Phone (925) 627-3424

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBDGCA

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1790552305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 POWELL ST APT 53",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941081562",
            "telephone_number": "415-589-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LA CASA VIA STE 208",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983007",
            "telephone_number": "925-935-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOPLIN",
        "first_name": "JODI",
        "middle_name": "MICHELE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-05",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95028017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.