Active NPI
David A Kipper, M.D.
- Internal Medicine Physician
- Beverly Hills, CA
National Provider Identifier
1548290398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G29776
- Practice address
- 153 S Lasky Dr
Suite 3
Beverly Hills, CA 90212-1721 - Phone
- (310) 275-5206
- Fax
- (310) 286-1085
- NPI assigned
- Jul 4, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G29776 | CA | Primary |
Addresses
Primary practice location
153 S Lasky Dr
Suite 3
Beverly Hills, CA 90212-1721
Mailing address
153 S Lasky Dr
Suite 3
Beverly Hills, CA 90212-1721
Phone (310) 275-5206
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G29776 | Other | CA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2014 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G29776 | CA | MD | Internal Medicine Physician |
Interoperability endpoints
- davidkipper.85.127@securemailmdscloud.mdsynergy.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1548290398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 S LASKY DR",
"address_2": "SUITE 3",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902121721",
"telephone_number": "310-275-5206",
"fax_number": "310-286-1085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 S LASKY DR",
"address_2": "SUITE 3",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902121721",
"telephone_number": "310-275-5206",
"fax_number": "310-286-1085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIPPER",
"first_name": "DAVID",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G29776",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "G29776",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beverly Hills, CA
- Steve Seog Kim, M.D., PHD.
- Kimberly J Lee MD Inc
- Ayumi Angie Kimura, O.D.
- Kincaid Psychiatric Nursing, Apc
- Carolyn Lee Kipper, M.D.
- Kira Stein, MD, a Professional Corporation (West Coast Life Center)
- Kirby Dermatology, a Medical Corporation
- Carol Ramzi Kiriakos, M.D.
- Monika Grant Kiripolsky, M.D.
- Kitchen Coach by Sarah Mirkin RDN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.