Individual provider Active NPI

William Cipriano, M.D.

  • Psychiatry Physician
  • Westlake VLG, CA
National Provider Identifier
1083731673
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G62343 Issued in CA
Practice address
5743 Corsa Ave
Ste #117
Westlake VLG, CA 91362-6459
Phone
(818) 707-9440
Fax
(818) 707-7627
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X G62343 CA
Psychiatry Physician 2084P0800X G62343 CA Primary

Addresses

Primary practice location

5743 Corsa Ave
Ste #117
Westlake VLG, CA 91362-6459

Mailing address

5743 Corsa Ave Ste 117
Westlake VLG, CA 91362-6459
Phone (818) 707-9440

Other identifiers 1

IdentifierTypeStateIssuer
145516OtherVALUE OPTIONS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081119000081 CA Practitioner - Psychiatry 5698835742 Practice locations: Westlake Village, CA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Texas Medical School at San Antonio, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5743 Corsa Ave
Westlake Village, CA 91362-6459
Phone (818) 707-9440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G62343CAMDPsychiatry Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1083731673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5743 CORSA AVE STE 117",
            "city": "WESTLAKE VLG",
            "state": "CA",
            "postal_code": "913626459",
            "telephone_number": "818-707-9440",
            "fax_number": "818-707-7627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5743 CORSA AVE",
            "address_2": "STE #117",
            "city": "WESTLAKE VLG",
            "state": "CA",
            "postal_code": "913626459",
            "telephone_number": "818-707-9440",
            "fax_number": "818-707-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIPRIANO",
        "first_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "G62343",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G62343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "145516",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake VLG, CA

Sources for this page

Verify at the official NPI Registry.