Active NPI
Sonrisas Latinas Medical Group
- General Practice Physician
- Arleta, CA
National Provider Identifier
1164041331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- SONRISAS LATINAS MEDICAL GROUP
- Practice address
- 8648 Woodman Ave Unit 106
Arleta, CA 91331-6503 - Phone
- (818) 830-2866
- Fax
- (818) 830-2856
- NPI assigned
- Apr 8, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Lepera, MD
- Title
- Provider
- Phone
- (818) 830-2866
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
8648 Woodman Ave Unit 106
Arleta, CA 91331-6503
Mailing address
8648 Woodman Ave Unit 106
Arleta, CA 91331-6503
Phone (818) 830-2866
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | ARLETA | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210804002180 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 4486065034 | Practice locations: Arleta, CA |
National Provider Directory
National Provider DirectoryLocations
8648 Woodman Ave
Unit 106
Arleta, CA 91331
Phone (818) 830-2866
8648 Woodman Ave
#106
Arleta, CA 91331
Phone (818) 830-2866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586304000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713830400000",
"number": "1164041331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8648 WOODMAN AVE UNIT 106",
"city": "ARLETA",
"state": "CA",
"postal_code": "913316503",
"telephone_number": "818-830-2866",
"fax_number": "818-830-2856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8648 WOODMAN AVE UNIT 106",
"city": "ARLETA",
"state": "CA",
"postal_code": "913316503",
"telephone_number": "818-830-2866",
"fax_number": "818-830-2856"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SONRISAS LATINAS MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-08",
"last_updated": "2024-04-23",
"certification_date": "2024-04-23",
"status": "A",
"authorized_official_last_name": "LEPERA",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "818-830-2866",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "ARLETA",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8648 Woodman Ave Unit 106",
"city": "Arleta",
"state": "CA",
"country_code": "US",
"postal_code": "913316503",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Arleta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.