Active NPI
Linda Elizabeth Copeland, MD
- Pediatrics Physician
- Sacramento, CA
National Provider Identifier
1801960406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G63521
- Practice address
- 1500 21St St
Sacramento, CA 95811-5216 - Phone
- (916) 443-3299
- Fax
- (916) 325-1980
- NPI assigned
- Nov 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-13-4220 | CA | |
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | G63521 | CA | |
| Pediatrics Physician | 208000000X | G63521 | CA | Primary |
Addresses
Primary practice location
1500 21St St
Sacramento, CA 95811-5216
Mailing address
1500 21St St
Sacramento, CA 95811-5216
Phone (916) 443-3299
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G635210 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G63521 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514332800000",
"number": "1801960406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 21ST ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958115216",
"telephone_number": "916-443-3299",
"fax_number": "916-325-1980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 21ST ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958115216",
"telephone_number": "916-443-3299",
"fax_number": "916-325-1980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPELAND",
"first_name": "LINDA",
"middle_name": "ELIZABETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2017-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-13-4220",
"primary": false
},
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "CA",
"license": "G63521",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G63521",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G635210",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.