Kelly Yepremian, M.D.

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

19946 Issued in ND

Practice address

15715 S Atlantic Ave FL 2
East Rancho Dominguez, CA 90221-4242

Phone

(310) 604-5000

NPI assigned

Mar 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

81.05 of 100Reported as group

Quality

60.57

Promoting interoperability

98

Improvement activities

40

Cost

77.93

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Jonathan Nasseri MD Corp

  • Internal Medicine Physician
  • Simi Valley, CA
  • NPI 1194063529
  Medicare reassignment NPD
• Menalam Health Services PC

  • Hospitalist Physician
  • Simi Valley, CA
  • NPI 1114594967
  Medicare reassignment NPD
• Menalam Health Services PC

  • Diagnostic Radiology Physician
  • Glendora, CA
  • NPI 1003779596
  NPD
• Valerius Medical Group & Research Ctr of Greater Long Beach, Inc

  • Internal Medicine Physician
  • Long Beach, CA
  • NPI 1861426058
  NPD (past)

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1679606172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15715 S ATLANTIC AVE FL 2",
            "city": "EAST RANCHO DOMINGUEZ",
            "state": "CA",
            "postal_code": "902214242",
            "telephone_number": "310-604-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15715 S ATLANTIC AVE FL 2",
            "city": "EAST RANCHO DOMINGUEZ",
            "state": "CA",
            "postal_code": "902214242",
            "telephone_number": "310-604-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2305 37th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587017669",
            "country_code": "US",
            "telephone_number": "701-857-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEPREMIAN",
        "first_name": "KELLY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ND",
            "license": "19946",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A81317",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "200904068",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "200904068",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A813170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Planned Parenthood Los Angeles Compton Center
• Andrei Sabio
• Tena Cares Inc
• Tungsten Health South Los Angeles
• Myr-Jane Bautista Valente, RN

• Hospitalist Physician in East Rancho Dominguez, CA
• Providers in East Rancho Dominguez, CA by specialty
• Hospitalist Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.