KENNETH S HEPPS


Address: 5525 Etiwanda Ave, Ste 110, Tarzana, CA 91356-3642
Phone: 8189964796

KENNETH S HEPPS (NPI# 1154313880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154313880
Entity Type Individual
Full Name KENNETH S HEPPS
Credential MD
Practice Address 5525 Etiwanda Ave
Ste 110
Tarzana
CA 91356-3642
Practice Telephone 8189964796
Practice Fax Number 8444065413
Mailing Telephone 8189964796
Mailing Fax Number 8444065413
Enumeration Date 2005-08-18
Last Update Date 2020-05-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
G60798 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00G607980 05

Office Location

Street Address 5525 ETIWANDA AVE
STE 110
City TARZANA
State CA
Zip Code 91356-3642

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245237833 Michael D. Landman Otolaryngology 5525 Etiwanda Ave, Ste 312, Tarzana, CA 91356-6126 2005-06-28
1649663675 Darryl J Ballin, Md, Inc Internal Medicine 5525 Etiwanda Ave, 224, Tarzana, CA 91356-3647 2015-03-16
1518359850 Ent Group of Los Angeles Otolaryngology 5525 Etiwanda Ave, Suite 312, Tarzana, CA 91356-3647 2015-02-24
1457741076 Graham Mouw, M.d., A Medical Corporation Neurological Surgery 5525 Etiwanda Ave, Suite 324, Tarzana, CA 91356-3647 2015-02-03
1346658200 Auralcare Hearing Centers of America, LLC Clinic/Center 5525 Etiwanda Ave, Suite 312, Tarzana, CA 91356-3647 2014-07-23
1750795613 South Valley Physician Group, Inc. Internal Medicine 5525 Etiwanda Ave, Suite 200, Tarzana, CA 91356-3647 2014-06-18
1285068700 Leilah Lewin Social Worker 5525 Etiwanda Ave, 315, Tarzana, CA 91356-3647 2013-09-03
1629311840 Michelle Susan Shukhman Internal Medicine 5525 Etiwanda Ave, Suite #320, Tarzana, CA 91356-3647 2013-04-05
1013259530 David Hoenig Md Inc Anesthesiology 5525 Etiwanda Ave, Suite 217, Tarzana, CA 91356-3647 2013-03-22
1700125168 Tanaz Kahen Md Inc Obstetrics & Gynecology 5525 Etiwanda Ave, Suite 209, Tarzana, CA 91356-3647 2013-02-05
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1881110468 Samina Qadir Registered Nurse 18321 Clark St., Tarzana, CA 91356 2017-08-16
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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295810323 San Fernando Valley Gastroenterology Medical Group Inc Internal Medicine 18425 Burbank Blvd Ste 500, Tarzana, CA 91356-6691 2006-10-26
1184600074 Maurice Gourdji Md Inc & Lucien R Jacobs Md Inc Internal Medicine 18425 Burbank Blvd, Suite 500, Tarzana, CA 91356-2806 2005-12-21
1700878428 Neil D Fagen Internal Medicine 18411 Clark St Ste 204, Tarzana, CA 91356-3535 2005-08-18
1982696613 Michael Madievsky Internal Medicine 5525 Etiwanda Ave Ste 110, Tarzana, CA 91356-3642 2005-08-18
1023311008 Neil D. Fagen,m.d.,inc. Internal Medicine 18411 Clark St, 204, Tarzana, CA 91356-3535 2010-12-13
1437463957 Marcos B Fleiderman M D Medical Corporation Internal Medicine 18372 Clark St, Suite 212, Tarzana, CA 91356-3508 2010-07-27
1508006339 Maurice Gourdji Md Inc Internal Medicine 18425 Burbank Blvd, Suite 500, Tarzana, CA 91356-2806 2009-03-06
1902047749 Lucien R Jacobs Md Inc Internal Medicine 18425 Burbank Blvd, Suite 500, Tarzana, CA 91356-2806 2009-03-06
1558540294 Michael Madievsky,m.d. Internal Medicine 18411 Clark St Ste 204, Tarzana, CA 91356-3535 2007-10-30
1144305244 Lori Yep Kam Internal Medicine 18425 Burbank Blvd, Tarzana, CA 91356-2806 2006-10-26
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Competitor

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City TARZANA
Zip Code 91356

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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