Individual provider Active NPI

Jennifer Lyn Bepko, MD

  • Family Medicine Physician
  • Travis Air Force Base, CA
National Provider Identifier
1801999313
Registry record updated Nov 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K9487 Issued in TX
Practice address
101 Bodin Circle
DGMC
Travis Air Force Base, CA 94535-8000
Phone
(707) 222-0000
NPI assigned
Sep 7, 2006
Last updated
Nov 24, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X K9487 TX Primary

Addresses

Primary practice location

101 Bodin Circle
DGMC
Travis Air Force Base, CA 94535-8000

Mailing address

101 Bodin Circle
David Grant Medical Center
Travis Air Force Base, CA 94535-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pippen Health of California, P.C., a California Professional Corporati Past Accepting new patients
Cloud Health Medical Group of California, P.C. Family Medicine Past Accepting new patients
Openloop Healthcare Partners PC Past Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients
Openloop Healthcare Partners California PC Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416787200000",
    "number": "1801999313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BODIN CIRCLE",
            "address_2": "DAVID GRANT MEDICAL CENTER",
            "city": "TRAVIS AIR FORCE BASE",
            "state": "CA",
            "postal_code": "945358000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BODIN CIRCLE",
            "address_2": "DGMC",
            "city": "TRAVIS AIR FORCE BASE",
            "state": "CA",
            "postal_code": "945358000",
            "telephone_number": "707-222-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEPKO",
        "first_name": "JENNIFER",
        "middle_name": "LYN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2014-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K9487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Travis Air Force Base, CA

Sources for this page

Verify at the official NPI Registry.