Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Henry Knoop IV, RPA-C

Individual provider Physician Assistant · NPI 1790912152

Mr. Henry Knoop IV, RPA-C is a Physician Assistant in Lakeport, California. Qualified in 2008, 18 years ago. Practices with Mary Imogene Bassett Hospital, a 779-clinician group and accepts Medicare assignment. Licensed in California, Illinois and New York.

Years since qualifying
18
Licensed in
CA, IL, NY
In the registry since
2009
Specialties on file
3
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5176 Hill Rd E
Lakeport, CA 95453-6300
Phone: (707) 262-5088
Fax: (707) 263-8977
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 013106 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 085003747 (IL)
Physician Assistant Taxonomy 363A00000X · Licence PA-21953 (CA)

Record details

NPI number1790912152
Entity typeIndividual (Type 1)
GenderMale
Credentials RPA-C
Sole proprietorYes
NPI enumeratedJune 12, 2009
Last updated in NPPESFebruary 15, 2021
Certification dateFebruary 15, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Mary Imogene Bassett Hospital — 779 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lakeport