Individual provider Active NPI

Leila Caroline Pisheh, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1013319821
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95000768 Issued in CA
Practice address
3800 Florin Rd
Sacramento, CA 95823-1802
Phone
(916) 341-0575
Fax
(916) 498-9040
NPI assigned
Sep 24, 2014
Last updated
May 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95000768 CA Primary

Addresses

Primary practice location

3800 Florin Rd
Sacramento, CA 95823-1802

Mailing address

2020 J St
Sacramento, CA 95811-3120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150112001918 CA Practitioner - Nurse Practitioner 6608190087 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sacramento Native American Health Center Inc CurrentSince Nov 23, 2022 Accepting new patients
Blossom Ridge Medical, Inc. CurrentSince Jun 1, 2024 Accepting new patients
Sacramento Native American Health Center, Inc. PastSince May 21, 2023 Accepting new patients
Capital Medical Extended Care Past Accepting new patients

Locations

2020 J St
Sacramento, CA 95811
Phone (916) 341-0575

2554 Millcreek Dr
Sacramento, CA 95833
Phone (800) 991-6147

3800 Florin Rd
Sacramento, CA 95823
Phone (916) 341-0575

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19797/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1013319821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 J ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958113120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 FLORIN RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958231802",
            "telephone_number": "916-341-0575",
            "fax_number": "916-498-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISHEH",
        "first_name": "LEILA",
        "middle_name": "CAROLINE",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-24",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95000768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.