Active NPI
Jeffrey Leon Kupperman, M.D.
- Pulmonary Disease Physician
- Santa Barbara, CA
National Provider Identifier
1104810738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- G34672
- Practice address
- 2428 Castillo St
Suite D
Santa Barbara, CA 93105 - Phone
- (805) 845-1500
- Fax
- (805) 845-0333
- NPI assigned
- Sep 9, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | G34672 | CA | Primary |
Addresses
Primary practice location
2428 Castillo St
Suite D
Santa Barbara, CA 93105
Mailing address
PO Box 50706
Santa Barbara, CA 93150-0706
Phone (805) 963-3757
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 290011938 | Other | CA | RAILROAD MEDICARE |
| 00G346720 | 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 |
|---|---|---|---|
| G34672 | CA | MD | Pulmonary Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534204800000",
"number": "1104810738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50706",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931500706",
"telephone_number": "805-963-3757",
"fax_number": "805-564-3332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2428 CASTILLO ST",
"address_2": "SUITE D",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "93105",
"telephone_number": "805-845-1500",
"fax_number": "805-845-0333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUPPERMAN",
"first_name": "JEFFREY",
"middle_name": "LEON",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-09",
"last_updated": "2018-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "G34672",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "290011938",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G346720",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Barbara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.