Gregory Vanepps, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

15004 Issued in CA

Practice address

3615 Jack Northrop Ave Ste 100
Hawthorne, CA 90250-4436

Phone

(310) 300-1051

Fax

(310) 300-1052

NPI assigned

Apr 22, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• One Medical Group, Inc.

  • Family Medicine Physician
  • Hawthorne, CA
  • NPI 1922470392
  NPD (past)

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1396189288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 JACK NORTHROP AVE STE 100",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902504436",
            "telephone_number": "310-300-1051",
            "fax_number": "310-300-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 JACK NORTHROP AVE STE 100",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902504436",
            "telephone_number": "310-300-1051",
            "fax_number": "310-300-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANEPPS",
        "first_name": "GREGORY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-22",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OL60366711",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "15004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• VA Longbeach Medical Center
• Fayegh Vakili, M.D.
• Andrea Valadez, M.D.
• Valentin Hernandez, MD. Inc.
• Nadia Valiyee, RDH
• Debora Vargas Huaman
• Priscilla Vargas
• Nisreen Saifee Vasi, DDS
• Nathalie Samantha Vasquez
• Annais Vazquez, SLPA

• Family Medicine Physician in Hawthorne, CA
• Providers in Hawthorne, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.