Individual provider Active NPI

Stacey Dee Kupperman, N.D.

  • Naturopath
  • Burbank, CA
National Provider Identifier
1477730067
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
ND-342 Issued in CA
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

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
24-1855AZMDNaturopath
ND-342CAMDNaturopath
6784269-7101UTMDNaturopath

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.

Verify at the official NPI Registry.