Organization Active NPI

Kenneth Jay Wepman DPM

  • Durable Medical Equipment & Medical Supplies
  • Long Beach, CA
National Provider Identifier
1740447226
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KENNETH JAY WEPMAN DPM
Practice address
3816 Woodruff Ave
Suite #207
Long Beach, CA 90808-2147
Phone
(562) 425-2113
Fax
(562) 425-3044
NPI assigned
May 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Authorized official

Name
Kenneth Jay Wepman, DPM
Title
Owner
Phone
(562) 425-2113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3816 Woodruff Ave
Suite #207
Long Beach, CA 90808-2147

Mailing address

3816 Woodruff Ave
Suite #207
Long Beach, CA 90808-2147
Phone (562) 425-2113

National Provider Directory

National Provider Directory

Locations

3816 Woodruff Ave
Ste 207
Long Beach, CA 90808
Phone (562) 425-2113

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1740447226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3816 WOODRUFF AVE",
            "address_2": "SUITE #207",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082147",
            "telephone_number": "562-425-2113",
            "fax_number": "562-425-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816 WOODRUFF AVE",
            "address_2": "SUITE #207",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082147",
            "telephone_number": "562-425-2113",
            "fax_number": "562-425-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH JAY WEPMAN DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "WEPMAN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-425-2113",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.