KENNETH JAY WEPMAN DPM NPI 1811920093

NPI Information

  • NPI: 1811920093
  • Provider Name: KENNETH JAY WEPMAN, DPM
  • Classification: Podiatrist - 213EP1101X
  • Specialization: Primary Podiatric Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3816 WOODRUFF AVE
    SUITE #207
    LONG BEACH, CA
    ZIP 90808
  • Phone: (562) 425-2113

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NPI Details

Kenneth Jay Wepman, DPM is a primary podiatric medicine podiatrist in Long Beach, CA. Kenneth Jay Wepman, DPM NPI is 1811920093. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3816 WOODRUFF AVE
SUITE #207
LONG BEACH, CA
ZIP 90808-147
Phone: (562) 425-2113
Fax: (562) 425-3044

The NPI 1811920093 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)

The enumeration date for this NPI number is 7/9/2006 and was last updated on 7/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatristE3594CALIFORNIANo
2213EP1101XPodiatristPrimary Podiatric MedicineE3594CALIFORNIAYes
3213ER0200XPodiatristRadiologyE3594CALIFORNIANo
4213ES0000XPodiatristSports MedicineE3594CALIFORNIANo
5213ES0131XPodiatristFoot SurgeryE3594CALIFORNIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000E35940MEDICAIDCALIFORNIA
2330426137OTHERCALIFORNIAFEDERAL TAX ID
30826880001OTHERCALIFORNIADME

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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