Active NPI
Gayle L Pepper, NP
- Licensed Practical Nurse
- North Hills, CA
National Provider Identifier
1659597144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 153808
- Practice address
- 15206 Parthenia St
North Hills, CA 91343-5305 - Phone
- (818) 895-3100
- Fax
- (818) 893-9464
- NPI assigned
- Apr 17, 2007
- Last updated
- Oct 24, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 153808 | CA | Primary |
Addresses
Primary practice location
15206 Parthenia St
North Hills, CA 91343-5305
Mailing address
15206 Parthenia St
North Hills, CA 91343-5305
Phone (818) 895-3100
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FHC70436F | Medicaid | CA | |
| W11698 | Other | CA | GROUP ID |
| HAP70436F | Medicaid | CA | |
| EAP70436F | Medicaid | CA |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1689 | CA | MD | Community Health Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mission City Community Network,Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mission Hills, CA
- NPI 1427234590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193184000000",
"number": "1659597144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15206 PARTHENIA ST",
"city": "NORTH HILLS",
"state": "CA",
"postal_code": "913435305",
"telephone_number": "818-895-3100",
"fax_number": "818-893-9464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15206 PARTHENIA ST",
"city": "NORTH HILLS",
"state": "CA",
"postal_code": "913435305",
"telephone_number": "818-895-3100",
"fax_number": "818-893-9464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEPPER",
"first_name": "GAYLE",
"middle_name": "L",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2007-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "CA",
"license": "153808",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "FHC70436F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP ID",
"identifier": "W11698",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HAP70436F",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "EAP70436F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.