Active NPI
Stephen Copen MD Inc
- Nephrology Physician
- Los Angeles, CA
National Provider Identifier
1992086391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- STEPHEN COPEN MD INC
- Practice address
- 874 W Martin Luther King Jr Blvd
Los Angeles, CA 90037-1205 - Phone
- (323) 232-6161
- Fax
- (323) 232-1501
- NPI assigned
- Aug 30, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen T Copen, M.D.
- Title
- Owner
- Phone
- (323) 232-6131
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
874 W Martin Luther King Jr Blvd
Los Angeles, CA 90037-1205
Mailing address
905 Napoli Dr
Pacific Palisades, CA 90272-4037
Phone (323) 232-6131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1314662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1314662400000",
"number": "1992086391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 NAPOLI DR",
"city": "PACIFIC PALISADES",
"state": "CA",
"postal_code": "902724037",
"telephone_number": "323-232-6131",
"fax_number": "323-232-1501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "874 W MARTIN LUTHER KING JR BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900371205",
"telephone_number": "323-232-6161",
"fax_number": "323-232-1501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHEN COPEN MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-30",
"last_updated": "2011-08-30",
"status": "A",
"authorized_official_last_name": "COPEN",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "323-232-6131",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Stephanie Chan, MD Inc
- Andrew Robert Stephanopoulos, MA, MFT
- Katherine Stephans
- Stephen a Hillman, M.D., a Professional Corporation
- Stephen C Levy MD & Ronald M Andiman MD
- Stephen D Bragin, M.D., Inc
- Stephen G Schonfield DDS Inc
- Stephen J Shapiro MD a Professional Corporation
- Stephen J. Torres, M.D., a Medical Corporation
- Stephen K Kwan M D Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; 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.