Active NPI
Dagmar I Liepa, MD
- General Practice Physician
- Van Nuys, CA
National Provider Identifier
1881742047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- G47889
- Practice address
- 14407 Hamlin St
Ste a
Van Nuys, CA 91401-6200 - Phone
- (818) 904-9008
- Fax
- (818) 994-4491
- NPI assigned
- Jan 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | G47889 | CA | |
| General Practice Physician | 208D00000X | G47889 | CA | Primary |
Addresses
Primary practice location
14407 Hamlin St
Ste a
Van Nuys, CA 91401-6200
Mailing address
PO Box 52
Van Nuys, CA 91408-0052
Phone (818) 904-9008
Other practice location 1
13629 Van Nuys Blvd
Pacoima, CA 91331-3613
Phone (909) 999-6411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G478891 | Medicaid | CA |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
14407 Hamlin St
Suite a
Van Nuys, CA 91401-6200
Phone (818) 904-9008
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Paradigms Treatment Center | Current | Accepting new patients | |
| Addictionmds PC | Multi-Specialty | Current | Accepting new patients |
| Dagmar Liepa, MD | Multi-Specialty | Current | Accepting new patients |
| Conquer Recovery Centers, Inc. | Past | Accepting new patients |
Locations
14860 Roscoe Blvd
Ste 307
Panorama City, CA 91402
Phone (818) 616-2122
14407 Hamlin St
Ste A
Van Nuys, CA 91401
Phone (818) 521-0563
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction Medicine (Internal Medicine) Physician
- Hesperia, CA
- NPI 1326227992
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1700014529
-
- Family Medicine Physician
- Fresno, CA
- NPI 1376703033
-
- Internal Medicine Physician
- Van Nuys, CA
- NPI 1881698702
-
- Addiction Medicine (Family Medicine) Physician
- Pomona, CA
- NPI 1417477183
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Van Nuys, CA
- NPI 1306591185
Multi-Specialty
-
- Addiction Medicine (Preventive Medicine) Physician
- Van Nuys, CA
- NPI 1245558204
Multi-Specialty
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Van Nuys, CA
- NPI 1528567138
-
- Substance Abuse Rehabilitation Facility
- Los Angeles, CA
- NPI 1619598208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741651200000",
"number": "1881742047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 52",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914080052",
"telephone_number": "818-904-9008",
"fax_number": "818-994-4491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14407 HAMLIN ST",
"address_2": "STE A",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914016200",
"telephone_number": "818-904-9008",
"fax_number": "818-994-4491"
}
],
"practiceLocations": [
{
"address_1": "13629 Van Nuys Blvd",
"address_purpose": "LOCATION",
"city": "Pacoima",
"state": "CA",
"postal_code": "913313613",
"country_code": "US",
"telephone_number": "909-999-6411",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIEPA",
"first_name": "DAGMAR",
"middle_name": "I",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-06",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "2083A0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Addiction Medicine",
"state": "CA",
"license": "G47889",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "G47889",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G478891",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.