Individual provider Active NPI

Rita Carla Silva-Leu, D.O.

  • Psychiatry Physician
  • Long Beach, CA
National Provider Identifier
1073715637
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20A9844 Issued in CA
Practice address
4510 E Pacific Coast Hwy
Suite 600
Long Beach, CA 90804-3279
Phone
(562) 346-1100
Fax
(562) 961-7604
NPI assigned
Jun 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 20A9844 CA Primary

Addresses

Primary practice location

4510 E Pacific Coast Hwy
Suite 600
Long Beach, CA 90804-3279

Mailing address

4510 E Pacific Coast Hwy
Suite 600
Long Beach, CA 90804-3279
Phone (562) 346-1100

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
I20091019000675 CA Practitioner - Psychiatry 0042357360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4510 E Pacific Coast Hwy
Suite 600
Long Beach, CA 90804-6914
Phone (562) 346-1100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles County Department of Mental Health CurrentSince May 12, 2013 Accepting new patients
Los Angeles County Department of Mental Health Current Accepting new patients
Los Angeles County Department of Mental Health CurrentSince May 12, 2013 Accepting new patients

Locations

1975 Long Beach Blvd
Long Beach, CA 90806
Phone (562) 599-9280

4510 E Pacific Coast Hwy
Ste 600
Long Beach, CA 90804
Phone (562) 346-1100

510 S Vermont Ave
Fl 19
Los Angeles, CA 90020
Phone (213) 480-3416

1294 W 6th St
Fl 2
San Pedro, CA 90731
Phone (310) 519-6100

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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1073715637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 E PACIFIC COAST HWY",
            "address_2": "SUITE 600",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043279",
            "telephone_number": "562-346-1100",
            "fax_number": "562-961-7604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 E PACIFIC COAST HWY",
            "address_2": "SUITE 600",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043279",
            "telephone_number": "562-346-1100",
            "fax_number": "562-961-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVA-LEU",
        "first_name": "RITA",
        "middle_name": "CARLA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A9844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.