Active NPI
Marilou Terpenning, M.D.
- Hematology & Oncology Physician
- Pacific Palisades, CA
National Provider Identifier
1033184890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- G39425
- Practice address
- 528 Palisades Dr
#537
Pacific Palisades, CA 90272-2844 - Phone
- (310) 995-3758
- Fax
- (310) 995-3758
- NPI assigned
- Feb 22, 2006
- Last updated
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | G39425 | CA | Primary |
Addresses
Primary practice location
528 Palisades Dr
#537
Pacific Palisades, CA 90272-2844
Mailing address
528 Palisades Dr
#537
Pacific Palisades, CA 90272-2844
Phone (310) 995-3758
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0085740 | Medicaid | CA | |
| G39425 | Other | CA | CALIFORNIA LICENSE |
| G394250 | 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 |
|---|---|---|---|
| G39425 | CA | MD | Hematology & Oncology Physician |
Interoperability endpoints
- mterpenning463961@oc.providencedirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1033184890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "528 PALISADES DR",
"address_2": "#537",
"city": "PACIFIC PALISADES",
"state": "CA",
"postal_code": "902722844",
"telephone_number": "310-995-3758",
"fax_number": "310-995-3758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "528 PALISADES DR",
"address_2": "#537",
"city": "PACIFIC PALISADES",
"state": "CA",
"postal_code": "902722844",
"telephone_number": "310-995-3758",
"fax_number": "310-995-3758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERPENNING",
"first_name": "MARILOU",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-22",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CA",
"license": "G39425",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0085740",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA LICENSE",
"identifier": "G39425",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G394250",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pacific Palisades, CA
- Tali Fayfel Apc
- Jennifer Tang, DMD
- Tanya Jacob Clinical Psychology Inc. (Daniel Knox Counseling)
- Maria E Tapia, DDS
- Bradley A Tepaske, PHD
- The Cypress Center, a Physical Therapy Corporation
- Thomas Harrison Price (Palisades Village Pharmacy)
- Jeffrey Alan Tipton, D.O.
- Alexandra Titone
- TMS Trauma Treatment Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.