Active NPI
Gil Tepper, M.D.
- Orthopaedic Surgery of the Spine Physician
- Sherman Oaks, CA
National Provider Identifier
1821147976
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(1) exclusion effective Nov 20, 2023.
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- G68053
- Practice address
- 4849 Van Nuys Blvd
Suite 217
Sherman Oaks, CA 91403-2110 - Phone
- (818) 990-4100
- Fax
- (818) 990-4166
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | G68053 | CA | Primary |
Addresses
Primary practice location
4849 Van Nuys Blvd
Suite 217
Sherman Oaks, CA 91403-2110
Mailing address
PO Box 19070
Encino, CA 91416-9070
Phone (818) 990-4100
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G68053 | CA | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heritage Orthopedic & Industrial Medicine Multi-Specialty Group, Inc. | Past | Accepting new patients | |
| Miracle Mile Medical Center, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Orthopedic Chiropractor
- San Bernardino, CA
- NPI 1730329285
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1184773202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422230400000",
"number": "1821147976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19070",
"city": "ENCINO",
"state": "CA",
"postal_code": "914169070",
"telephone_number": "818-990-4100",
"fax_number": "818-990-4166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4849 VAN NUYS BLVD",
"address_2": "SUITE 217",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914032110",
"telephone_number": "818-990-4100",
"fax_number": "818-990-4166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEPPER",
"first_name": "GIL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2015-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "CA",
"license": "G68053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.