KENNETH JAY WEPMAN DPM NPI 1811920093

NPI Information

NPI: 1811920093
Provider Name: KENNETH JAY WEPMAN, DPM
Classification: Podiatrist - 213EP1101X
Entity Type: Individual

Specialization: Primary Podiatric Medicine

PECOS Registration: Yes

Address:
3816 WOODRUFF AVE
SUITE #207
LONG BEACH, CA
ZIP 90808
Phone: (562) 425-2113
Get Directions

Kenneth Jay Wepman, DPM is a primary podiatric medicine podiatrist in Long Beach, CA with 36 years of experience. 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.

Education
Medical School: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduation Year:1988

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 enumeration date for this NPI number is 7/9/2006 and was last updated on 11/10/2016.

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
1	213E00000X	Podiatrist		E3594	CALIFORNIA	No
2	213ER0200X	Podiatrist	Radiology	E3594	CALIFORNIA	No
3	213ES0000X	Podiatrist	Sports Medicine	E3594	CALIFORNIA	No
4	213ES0131X	Podiatrist	Foot Surgery	E3594	CALIFORNIA	No
5	213EP1101X	Podiatrist	Primary Podiatric Medicine	E3594	CALIFORNIA	Yes

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
1	330426137	OTHER	CALIFORNIA	FEDERAL TAX ID
2	0826880001	OTHER	CALIFORNIA	DME
3	8268800001	MEDICARE NSC	CALIFORNIA
4	U17335	MEDICARE UPIN	CALIFORNIA
5	000E35940	MEDICAID	CALIFORNIA
6	1811920093	MEDICARE NSC	CALIFORNIA

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: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »