Individual provider Active NPI

Michael Lepera, DMD MD

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1205008588
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C55520 Issued in CA
Practice address
1926 Beverly Blvd
Los Angeles, CA 90057-2402
Phone
(973) 418-4887
NPI assigned
Mar 27, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MD08262800 NJ
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 22DI01717500 NJ
Internal Medicine Physician 207R00000X C55520 CA Primary

Addresses

Primary practice location

1926 Beverly Blvd
Los Angeles, CA 90057-2402

Mailing address

34 Kentwood Rd
Succasunna, NJ 07876-1406
Phone (973) 418-4887

Other identifiers 1

IdentifierTypeStateIssuer
22DI01717500OtherNJDENTAL LICENSE

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
I20221024002740 CA Practitioner - General Practice 3779733449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Eastern Virginia Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthy Life Medical Care IncGroup PAC ID 5597135558, 2 clinicians

Practice addresses (Care Compare)

7537 Laurel Canyon Blvd
Unit B
North Hollywood, CA 91605-3149
Phone (818) 796-5551

Hospital & facility affiliations

  • MD Home Health Care Services, Inc. Home health agency, Van Nuys, CA, CCN 757360
  • Marathon Home Health, Inc Home health agency, North Hollywood, CA, CCN 559364

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22DI01717500NJMDOral and Maxillofacial Surgery (Dentist)
C55520CAMDInternal Medicine Physician
25MD08262800NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Life Medical Care Inc CurrentSince Dec 1, 2022 Accepting new patients
Steven D Young DDS PastSince Sep 14, 2022 Accepting new patients
M Morales DDS Inc Past Accepting new patients

Locations

7537 Laurel Canyon Blvd
Unit B
North Hollywood, CA 91605
Phone (818) 796-5551

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1205008588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 KENTWOOD RD",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078761406",
            "telephone_number": "973-418-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 BEVERLY BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572402",
            "telephone_number": "973-418-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPERA",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-27",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MD08262800",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI01717500",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C55520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "22DI01717500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.