Active NPI
John Kenyon Rupnik, M.D.
- Internal Medicine Physician
- Napa, CA
National Provider Identifier
1942290770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G27568
- Practice address
- 3443 Villa LN
Suite 9
Napa, CA 94558-6417 - Phone
- (707) 253-8901
- Fax
- (707) 253-1558
- NPI assigned
- Oct 24, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | G27568 | CA | |
| Internal Medicine Physician | 207R00000X | G27568 | CA | Primary |
Addresses
Primary practice location
3443 Villa LN
Suite 9
Napa, CA 94558-6417
Mailing address
3443 Villa LN
Suite 9
Napa, CA 94558-6417
Phone (707) 253-8901
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G275680 | 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 |
|---|---|---|---|
| G27568 | CA | MD | Internal Medicine Physician |
Interoperability endpoints
- jkenyon.rupnik@nvfmg.directbygreenway.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386806400000",
"number": "1942290770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3443 VILLA LN",
"address_2": "SUITE 9",
"city": "NAPA",
"state": "CA",
"postal_code": "945586417",
"telephone_number": "707-253-8901",
"fax_number": "707-253-1558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3443 VILLA LN",
"address_2": "SUITE 9",
"city": "NAPA",
"state": "CA",
"postal_code": "945586417",
"telephone_number": "707-253-8901",
"fax_number": "707-253-1558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUPNIK",
"first_name": "JOHN",
"middle_name": "KENYON",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-24",
"last_updated": "2013-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "CA",
"license": "G27568",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G27568",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G275680",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Napa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.