Active NPI
Peter J Liepmann, MD
- Family Medicine Physician
- Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C 89383
- Practice address
- 2319 E Washington Blvd # 2
Pasadena, CA 91104-1945 - Phone
- (845) 797-0950
- NPI assigned
- May 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | C 89383 | CA | |
| Family Medicine Physician | 207Q00000X | C 89383 | CA | Primary |
Addresses
Primary practice location
2319 E Washington Blvd # 2
Pasadena, CA 91104-1945
Mailing address
257 S de Lacey Ave Unit 1130
Pasadena, CA 91105-4189
Phone (518) 302-6006
Other practice location 1
257 S De Lacey Ave Unit 1130
Pasadena, CA 91105-4189
Phone (518) 302-6006
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00843150 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 159061 | NY | MD | Dental Hygienist |
| C 89383 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anaheim Urgent Care, Inc. | Family Medicine | Current | Accepting new patients |
| Anaheim Urgent Care, Inc | Current | Accepting new patients | |
| West Hollywood Urgent Care | Current | Accepting new patients | |
| Keystone Hospitalist Services of New York P.C. | Past | Accepting new patients | |
| Exigence Hospitalist Medical Services of Hornell, PLLC | Past | Accepting new patients |
Locations
1300 N La Brea Ave
Los Angeles, CA 90028
Phone (323) 464-1336
5717 Melrose Ave
Los Angeles, CA 90038
Phone (323) 957-2273
888 S Figueroa St
Ste 600
Los Angeles, CA 90017
600 S Lake Ave
Ste 105
Pasadena, CA 91106
Phone (626) 572-4000
Interoperability endpoints
- peter.liepmann.p1@direct.scfhc.nextgenshare.com
Organizations & group practices 5
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.
-
- Urgent Care Clinic/Center
- Beverly Hills, CA
- NPI 1619682788
-
- Urgent Care Clinic/Center
- Los Angeles, CA
- NPI 1619494036
-
- Hospitalist Physician
- Hornell, NY
- NPI 1861629792
-
- Emergency Medicine Physician
- Olean, NY
- NPI 1174068761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611273600000",
"number": "1568415701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "257 S DE LACEY AVE UNIT 1130",
"city": "PASADENA",
"state": "CA",
"postal_code": "911054189",
"telephone_number": "518-302-6006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2319 E WASHINGTON BLVD # 2",
"city": "PASADENA",
"state": "CA",
"postal_code": "911041945",
"telephone_number": "845-797-0950"
}
],
"practiceLocations": [
{
"address_1": "257 S De Lacey Ave Unit 1130",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "911054189",
"country_code": "US",
"telephone_number": "518-302-6006",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIEPMANN",
"first_name": "PETER",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2021-01-22",
"certification_date": "2021-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "CA",
"license": "C 89383",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "C 89383",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00843150",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.