Active NPI
Stacey Dee Kupperman, N.D.
- Naturopath
- Burbank, CA
National Provider Identifier
1477730067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- ND-342
- Practice address
- 4315 1/2 W Riverside Dr
Burbank, CA 91505-4044 - Phone
- (310) 310-9717
- Fax
- (310) 496-1779
- NPI assigned
- Jan 25, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naturopath | 175F00000X | ND-342 | CA | Primary |
| Naturopath | 175F00000X | 6784269-7101 | UT | |
| Naturopath | 175F00000X | 24-1855 | AZ |
Addresses
Primary practice location
4315 1/2 W Riverside Dr
Burbank, CA 91505-4044
Mailing address
8023 Beverly Blvd Ste 1-532
Los Angeles, CA 90048-4539
Phone (310) 310-9717
Other practice location 1
535 N Hayworth Ave Apt 303
Los Angeles, CA 90048-2751
Phone (310) 310-9717
Other practice location 2
8023 Beverly Blvd Ste 1-532
Los Angeles, CA 90048-4539
Phone (310) 310-9717
Other practice location 3
2055 E Southern Ave Ste F
Tempe, AZ 85282-7507
Phone (310) 310-9717
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24-1855 | AZ | MD | Naturopath |
| ND-342 | CA | MD | Naturopath |
| 6784269-7101 | UT | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759276800000",
"number": "1477730067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8023 BEVERLY BLVD STE 1-532",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900484539",
"telephone_number": "310-310-9717",
"fax_number": "310-496-1779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4315 1/2 W RIVERSIDE DR",
"city": "BURBANK",
"state": "CA",
"postal_code": "915054044",
"telephone_number": "310-310-9717",
"fax_number": "310-496-1779"
}
],
"practiceLocations": [
{
"address_1": "535 N Hayworth Ave Apt 303",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900482751",
"country_code": "US",
"telephone_number": "310-310-9717",
"fax_number": "310-496-1779",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8023 Beverly Blvd Ste 1-532",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900484539",
"country_code": "US",
"telephone_number": "310-310-9717",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2055 E Southern Ave Ste F",
"address_purpose": "LOCATION",
"city": "Tempe",
"state": "AZ",
"postal_code": "852827507",
"country_code": "US",
"telephone_number": "310-310-9717",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUPPERMAN",
"first_name": "STACEY",
"middle_name": "DEE",
"credential": "N.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-25",
"last_updated": "2025-10-01",
"certification_date": "2025-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CA",
"license": "ND-342",
"primary": true
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "UT",
"license": "6784269-7101",
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "AZ",
"license": "24-1855",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.