Individual provider Active NPI

Ilan Kuperman, M.D.

  • Family Medicine Physician
  • Newport Beach, CA
National Provider Identifier
1336178169
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A87018 Issued in CA
Practice address
4321 Birch St
Newport Beach, CA 92660-1923
Phone
(949) 851-1550
NPI assigned
Jul 2, 2006
Last updated
Sep 16, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A87018 CA Primary

Addresses

Primary practice location

4321 Birch St
Newport Beach, CA 92660-1923

Mailing address

3525 Del Mar Heights Rd
#379
San Diego, CA 92130-2122
Phone (949) 851-1550

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
I20040910000779 CA Practitioner - Family Practice 0840279279 Reassigns benefits to 1 organization
Practice locations: San Diego, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Baylor College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Monica Perlman MD IncGroup PAC ID 8820035884, 357 clinicians

Practice addresses (Care Compare)

9850 Genesee Ave
La Jolla, CA 92037-1208
Phone (858) 864-9800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.17 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
73.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A87018CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monica Perlman MD Inc. Family Medicine CurrentSince Feb 25, 2019 Accepting new patients
UC San Diego Health - Rancho Family Medical Group Past Accepting new patients
Monica Perlman MD Inc. Family Medicine PastSince Oct 6, 2019 Accepting new patients
Regents of the University of California Past Accepting new patients
Monica Perlman MD, Inc PastSince Oct 6, 2019 Accepting new patients
Monica Perlman MD Inc. PastSince Jan 3, 2021 Accepting new patients
Tri-City Hospital Past Accepting new patients
Monica Perlman MD, Inc Family Medicine PastSince Oct 6, 2019 Accepting new patients
Helene Wechsler, MD,PC Family Medicine Past Accepting new patients
Monica Perlman MD, Inc PastSince May 7, 2024 Accepting new patients

Locations

1905 Calle Barcelona
Ste 211
Carlsbad, CA 92009
Phone (858) 766-6007

477 N El Camino Real
Ste A200
Encinitas, CA 92024
Phone (619) 942-1242

7855 Ivanhoe Ave
Ste 110
La Jolla, CA 92037
Phone (858) 869-0188

9850 Genesee Ave
Ste 320
La Jolla, CA 92037
Phone (858) 864-9800

9850 Genesee Ave
Ste 860
La Jolla, CA 92037
Phone (858) 273-6763

12843 El Camino Real
Ste 203
San Diego, CA 92130
Phone (858) 558-0399

3180 University Ave
Ste 120
San Diego, CA 92104
Phone (858) 529-7229

3737 Moraga Ave
Ste B103
San Diego, CA 92117
Phone (858) 799-0855

3900 5th Ave
Ste 110
San Diego, CA 92103
Phone (619) 291-5474

4142 Adams Ave
Ste 102
San Diego, CA 92116
Phone (858) 617-0717

6386 Alvarado Ct
Ste 101
San Diego, CA 92120
Phone (619) 265-1237

204 S Santa Fe Ave
Vista, CA 92084
Phone (760) 941-8888

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

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

Hospital & facility affiliations 1

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": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316131200000",
    "number": "1336178169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 DEL MAR HEIGHTS RD",
            "address_2": "#379",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302122",
            "telephone_number": "949-851-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 BIRCH ST",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601923",
            "telephone_number": "949-851-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPERMAN",
        "first_name": "ILAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2011-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A87018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.