Organization Active NPI

Kopmed Management, Inc

  • Non-emergency Medical Transport (VAN)
  • San Diego, CA
National Provider Identifier
1801937321
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
MTN01012F Issued in CA
Legal business name
KOPMED MANAGEMENT, INC
Practice address
3435 Camino del Rio S Ste 208
San Diego, CA 92108-3911
Phone
(888) 456-0707
Fax
(858) 672-7490
NPI assigned
Feb 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Igor Kapchinskiy
Title
Owner
Phone
(888) 456-0707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X MTN01012F CA Primary

Addresses

Primary practice location

3435 Camino del Rio S Ste 208
San Diego, CA 92108-3911

Mailing address

PO Box 19332
San Diego, CA 92159-0332
Phone (888) 456-0707

Other identifiers 1

IdentifierTypeStateIssuer
MTN01012FMedicaidCA

National Provider Directory

National Provider Directory

Locations

3435 Camino del Rio S
Ste 208
San Diego, CA 92108
Phone (619) 808-4550

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801937321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19332",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921590332",
            "telephone_number": "888-456-0707",
            "fax_number": "858-672-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 CAMINO DEL RIO S STE 208",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083911",
            "telephone_number": "888-456-0707",
            "fax_number": "858-672-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOPMED MANAGEMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAPCHINSKIY",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-456-0707",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "MTN01012F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTN01012F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.