Individual provider Active NPI

Leslie D. Cahan, MD

  • Neurological Surgery Physician
  • Thousand Oaks, CA
National Provider Identifier
1063583979
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
A24830 Issued in CA
Practice address
2200 Lynn Rd
Thousand Oaks, CA 91360
Phone
(805) 494-0880
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X A24830 CA Primary

Addresses

Primary practice location

2200 Lynn Rd
Thousand Oaks, CA 91360

Mailing address

7162 Beverly Blvd #339
Los Angeles, CA 90036
Phone (844) 222-8100

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101116000619 CA Practitioner - Neurosurgery 4082809033 Reassigns benefits to 1 organization
Practice locations: Thousand Oaks, CA

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of California, Geffen School of Medicine, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2200 Lynn Rd
Thousand Oaks, CA 91360-2071
Phone (805) 494-0880

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24830CAMDClinical Social Worker
A24830CAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kaweah Delta Health Care District CurrentSince Feb 1, 2021 Accepting new patients
Kaweah Delta Health Care District CurrentSince Feb 1, 2021 Accepting new patients
Kaweah Delta Health Care District Current Accepting new patients

Locations

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

202 W Willow Ave
Ste 202
Visalia, CA 93291
Phone (559) 334-0181

840 S Akers St
Visalia, CA 93277
Phone (559) 624-3700

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1063583979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7162 BEVERLY BLVD #339",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90036",
            "telephone_number": "844-222-8100",
            "fax_number": "844-222-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 LYNN RD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91360",
            "telephone_number": "805-494-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAHAN",
        "first_name": "LESLIE",
        "middle_name": "D.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A24830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.