Active NPI
Nicholas Theodore Tepelidis, DPM
- Podiatrist
- N Hollywood, CA
National Provider Identifier
1407805369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E3728
- Practice address
- 11631 Victory Blvd
Suite 201
N Hollywood, CA 91606-3572 - Phone
- (818) 760-9539
- Fax
- (818) 760-9541
- NPI assigned
- May 9, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E3728 | CA | Primary |
Addresses
Primary practice location
11631 Victory Blvd
Suite 201
N Hollywood, CA 91606-3572
Mailing address
11631 Victory Blvd
Suite 201
N Hollywood, CA 91606-3572
Phone (818) 760-9539
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E3728 | CA | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1407805369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11631 VICTORY BLVD",
"address_2": "SUITE 201",
"city": "N HOLLYWOOD",
"state": "CA",
"postal_code": "916063572",
"telephone_number": "818-760-9539",
"fax_number": "818-760-9541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11631 VICTORY BLVD",
"address_2": "SUITE 201",
"city": "N HOLLYWOOD",
"state": "CA",
"postal_code": "916063572",
"telephone_number": "818-760-9539",
"fax_number": "818-760-9541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEPELIDIS",
"first_name": "NICHOLAS",
"middle_name": "THEODORE",
"name_prefix": "Mr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E3728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in N Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.