Individual provider Active NPI

Leonard John Faye, D.C.

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1073692034
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC17395 Issued in CA
Practice address
10801 National Blvd
Ste# 340
Los Angeles, CA 90064-4139
Phone
(310) 470-1225
Fax
(310) 475-8204
NPI assigned
Nov 2, 2006
Last updated
Feb 11, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC17395 CA Primary

Addresses

Primary practice location

10801 National Blvd
Ste# 340
Los Angeles, CA 90064-4139

Mailing address

10801 National Blvd
Ste# 340
Los Angeles, CA 90064-4139
Phone (310) 470-1225

Other identifiers 1

IdentifierTypeStateIssuer
TAX ID 954769788OtherCAFAYE & FAYE CHIROPRACTIC,

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090115000049 CA Practitioner - Chiropractic 6103989223 Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC17395CAMDChiropractor
17395CAMDSpecialist

Organizations & group practices 1

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234310400000",
    "number": "1073692034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 NATIONAL BLVD",
            "address_2": "STE# 340",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900644139",
            "telephone_number": "310-470-1225",
            "fax_number": "310-475-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 NATIONAL BLVD",
            "address_2": "STE# 340",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900644139",
            "telephone_number": "310-470-1225",
            "fax_number": "310-475-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAYE",
        "first_name": "LEONARD",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2009-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC17395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAYE & FAYE CHIROPRACTIC,",
            "identifier": "TAX ID 954769788",
            "state": "CA"
        }
    ],
    "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 Feb 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.