Ernest A Jeppsen, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

C170515 Issued in CA

Practice address

19-531 McLane Street
Suite B
Palm Springs, CA 92262

Phone

(760) 288-4579

Fax

(760) 288-3752

NPI assigned

Apr 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• County of Riverside

  • Community/Behavioral Health Agency
  • Palm Springs, CA
  • NPI 1417197963
  NPD
• Heber Valley Physical Therapy Inc

  • Specialist
  • Heber City, UT
  • NPI 1396802617
  NPD (past)

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1891759254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2651",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922632651",
            "telephone_number": "760-288-4579",
            "fax_number": "760-288-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19-531 MCLANE STREET",
            "address_2": "SUITE B",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "92262",
            "telephone_number": "760-288-4579",
            "fax_number": "760-288-3752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5005 S 900 E",
            "address_2": "St 100",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841175788",
            "country_code": "US",
            "telephone_number": "801-266-7565",
            "fax_number": "801-262-7565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEPPSEN",
        "first_name": "ERNEST",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": "149728",
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "UT",
            "license": "149728",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C170515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Jaquay, PHD
• Cindy E Jara, PPS
• Cynthia Jaramillo
• Michael F Jardula, MD
• Gerardo Jauregui-Reynoso
• Jamye J. Jesser, PSY.D.
• Beverly Jewell, LPCC
• Jewish Family Service of the Desert
• Jherndons LLC
• Linda Jimenez, ED.S, PPS

• Psychiatry Physician in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.