Active NPI
Kara Marie Epperson, PA-C
- Physician Assistant
- Lancaster, CA
National Provider Identifier
1790355360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 63157
- Practice address
- 335 E Avenue I
Lancaster, CA 93535-1916 - Phone
- (661) 471-4055
- NPI assigned
- Jun 28, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5264 | TN | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | 63157 | CA | Primary |
Addresses
Primary practice location
335 E Avenue I
Lancaster, CA 93535-1916
Mailing address
1360 El Rancho Dr
Tehachapi, CA 93561-2422
Phone (530) 613-3475
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63157 | CA | MD | Dentist |
| 5264 | TN | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Los Angeles | Current | Accepting new patients | |
| County of Los Angeles Auditor Controller | Current | Accepting new patients | |
| Healthy Kids LLC | Past | Accepting new patients | |
| Trevecca Nazarene University | Past | Accepting new patients |
Locations
1000 S Fremont Ave
Bldg A11
Alhambra, CA 91803
Phone (626) 457-4240
335 E Avenue I
Lancaster, CA 93535
Phone (661) 471-4000
Organizations & group practices 4
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.
-
- Clinic/Center
- Los Angeles, CA
- NPI 1780877613
-
- Clinic/Center
- Lancaster, CA
- NPI 1366453045
-
- Pediatrics Physician
- Shelbyville, TN
- NPI 1861711616
-
- Local Education Agency (LEA)
- Nashville, TN
- NPI 1033407952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735171200000",
"number": "1790355360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1360 EL RANCHO DR",
"city": "TEHACHAPI",
"state": "CA",
"postal_code": "935612422",
"telephone_number": "530-613-3475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 E AVENUE I",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935351916",
"telephone_number": "661-471-4055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPPERSON",
"first_name": "KARA",
"middle_name": "MARIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-28",
"last_updated": "2024-12-26",
"certification_date": "2024-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "5264",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "63157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.