Active NPI
David Leo Kipps, MD
- Pulmonary Disease Physician
- Santa Cruz, CA
National Provider Identifier
1972510048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- G33598
- Practice address
- 700 Frederick St Ste 203
Santa Cruz, CA 95062 - Phone
- (831) 425-1906
- Fax
- (831) 469-8764
- NPI assigned
- Aug 2, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | G33598 | CA | Primary |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | G33598 | CA |
Addresses
Primary practice location
700 Frederick St Ste 203
Santa Cruz, CA 95062
Mailing address
700 Frederick St Ste 203
Santa Cruz, CA 95062
Phone (831) 425-1906
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0056730 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33598 | CA | MD | General Practice Dentistry |
| G33598 | CA | MD | Pulmonary Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463961600000",
"number": "1972510048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 FREDERICK ST STE 203",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "95062",
"telephone_number": "831-425-1906",
"fax_number": "831-469-8764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 FREDERICK ST STE 203",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "95062",
"telephone_number": "831-425-1906",
"fax_number": "831-469-8764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIPPS",
"first_name": "DAVID",
"middle_name": "LEO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2016-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "G33598",
"primary": true
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CA",
"license": "G33598",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0056730",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.