Individual provider Active NPI

Elaine Kopinga, CNM

  • Advanced Practice Midwife
  • Newport Beach, CA
National Provider Identifier
1922423201
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
2073 Issued in CA
Practice address
320 Superior Ave Ste 360
Newport Beach, CA 92663-2795
Phone
(949) 548-6200
Fax
(949) 548-6201
NPI assigned
Feb 24, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 23690 CA
Advanced Practice Midwife 367A00000X 2073 CA Primary

Addresses

Primary practice location

320 Superior Ave Ste 360
Newport Beach, CA 92663-2795

Mailing address

3173 Corte Portofino
Newport Beach, CA 92660-3266
Phone (917) 573-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23690CAMDOccupational Therapist
2073CAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
California Center for Pelvic Floor Disorders Inc CurrentSince Nov 1, 2020 Accepting new patients
Allsafe Medical Group Inc. CurrentSince Jul 11, 2020 Accepting new patients

Locations

2121 E Coast Hwy
Ste 200
Corona del Mar, CA 92625
Phone (949) 718-2010

8077 Florence Ave
Ste 112
Downey, CA 90240
Phone (562) 904-6031

Organizations & group practices 2

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": "1393200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1922423201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3173 CORTE PORTOFINO",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603266",
            "telephone_number": "917-573-2600",
            "fax_number": "949-548-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SUPERIOR AVE STE 360",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926632795",
            "telephone_number": "949-548-6200",
            "fax_number": "949-548-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPINGA",
        "first_name": "ELAINE",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-24",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "23690",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "2073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.