Active NPI
David Charles Leidner
- Driver
- Los Angeles, CA
National Provider Identifier
1003165143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- A1122001
- Practice address
- 1308 Factory PL
#404
Los Angeles, CA 90013-2252 - Phone
- (213) 973-7670
- NPI assigned
- Sep 5, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | A1122001 | CA | Primary |
Addresses
Primary practice location
1308 Factory PL
#404
Los Angeles, CA 90013-2252
Mailing address
1308 Factory PL
#404
Los Angeles, CA 90013-2252
Phone (213) 973-7670
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A1122001 | CA | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346803200000",
"number": "1003165143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1308 FACTORY PL",
"address_2": "#404",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900132252",
"telephone_number": "213-973-7670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1308 FACTORY PL",
"address_2": "#404",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900132252",
"telephone_number": "213-973-7670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEIDNER",
"first_name": "DAVID",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-05",
"last_updated": "2012-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "CA",
"license": "A1122001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.