Tina Beth Koopersmith, M.D.

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

G69869 Issued in CA

Practice address

13320 Riverside Dr. #220
Sherman Oaks, CA 91423

Phone

(818) 986-1648

Fax

(818) 986-1653

NPI assigned

Oct 2, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2025 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: tina.koopersmith@304354522955780.direct.elationemr.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629162136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13320 RIVERSIDE DR. #220",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "91423",
            "telephone_number": "818-986-1648",
            "fax_number": "818-986-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13320 RIVERSIDE DR. #220",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "91423",
            "telephone_number": "818-986-1648",
            "fax_number": "818-986-1653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOOPERSMITH",
        "first_name": "TINA",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "CA",
            "license": "G69869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P763329",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan F Kohan, MD
• Sharona Sherry Kohanbash, PHARMACIST
• Lindsey Kohn, LMFT
• Ilene Kong, D.P.T.
• Kamran Koochek, M.D.
• Adam Kootman
• Alexander Korchmarev, M.D.
• Isabella Lilliana Kordes
• Hershel Korngut
• Galena Korol, PHARMD

• Reproductive Endocrinology Physician in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Reproductive Endocrinology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.