NPIMap

Individual provider Active NPI

Leslie J Tuchman, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • San Diego, CA
National Provider Identifier
1033152616
Registry record updated Apr 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
148437 Issued in CA
Practice address
16745 W Bernardo Dr Ste 240
San Diego, CA 92127-1908
Phone
(442) 248-0636
NPI assigned
Jun 13, 2006
Last updated
Apr 13, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 229314 NY
Internal Medicine Physician 207R00000X 148437 CA
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 148437 CA Primary

Addresses

Primary practice location

16745 W Bernardo Dr Ste 240
San Diego, CA 92127-1908

Mailing address

1934 Crest Dr
Encinitas, CA 92024-5268
Phone (646) 522-6246

Other identifiers 1

IdentifierTypeStateIssuer
0244131MedicaidNY

Other names 1

  • Dr. Leslie J Goldberg Former name

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

LicenseStateTypeSpecialty
148437CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
St. Barnabas OB GYN, PC Past Accepting new patients
Premier Surgical Partners Inc Past Accepting new patients
Quarry Road Emergency Services P.C. Past Accepting new patients
Seasons Hospice & Palliative Care of California- San Diego, LLC PastSince Jan 12, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ltuchman357167@scrippshlth.medalliesdirect.net

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523577600000",
    "number": "1033152616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934 CREST DR",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245268",
            "telephone_number": "646-522-6246",
            "fax_number": "718-374-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16745 W BERNARDO DR STE 240",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271908",
            "telephone_number": "442-248-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCHMAN",
        "first_name": "LESLIE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2018-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "229314",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "148437",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "148437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0244131",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "GOLDBERG",
            "middle_name": "J",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.