NPIMap

Organization Active NPI

Jan David Tepper, D.P.M., Inc

  • Foot & Ankle Surgery Podiatrist
  • Upland, CA
National Provider Identifier
1851328744
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E2154 Issued in CA
Legal business name
JAN DAVID TEPPER, D.P.M., INC
Practice address
984 W Foothill Blvd
Suite B
Upland, CA 91786-3700
Phone
(909) 920-0884
Fax
(909) 920-9810
NPI assigned
Jun 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Authorized official

Name
Dhavel Indubhai Patel, DPM
Title
Owner
Phone
(909) 920-0884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E2154 CA Primary

Addresses

Primary practice location

984 W Foothill Blvd
Suite B
Upland, CA 91786-3700

Mailing address

984 West Foothill Blvd.
Suite B
Upland, CA 91786
Phone (909) 920-0884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090129000028 CA Part B Supplier - Clinic/Group Practice 5698839132 Receives reassigned benefits from 5 practitioners
Practice locations: Upland, CA
O20100930002711 CA DME Supplier - Physician - Podiatry 5698839132 Practice locations: Upland, CA

National Provider Directory

National Provider Directory
Tax ID family
Jan David Tepper D P M Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

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": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1851328744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "984 WEST FOOTHILL BLVD.",
            "address_2": "SUITE B",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "91786",
            "telephone_number": "909-920-0884",
            "fax_number": "909-920-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984 W FOOTHILL BLVD",
            "address_2": "SUITE B",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863700",
            "telephone_number": "909-920-0884",
            "fax_number": "909-920-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAN DAVID TEPPER, D.P.M., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DHAVEL",
        "authorized_official_middle_name": "INDUBHAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-920-0884",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E2154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.