Individual provider Active NPI

Leita J Harris, MD

  • Gynecology Physician
  • Corona, CA
National Provider Identifier
1114118023
Registry record updated Apr 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
G064281 Issued in CA
Practice address
1810 Fullerton Ave
Ste 203
Corona, CA 92881-3109
Phone
(844) 845-8737
Fax
(855) 300-6748
NPI assigned
Aug 6, 2007
Last updated
Apr 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X G064281 CA Primary

Addresses

Primary practice location

1810 Fullerton Ave
Ste 203
Corona, CA 92881-3109

Mailing address

1810 Fullerton Ave
Ste 203
Corona, CA 92881-3109
Phone (844) 845-8737

Other names 1

  • Leita J Sadler Former name

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
I20090110000197 CA Practitioner - Obstetrics/Gynecology 9638232093 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G064281CAMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morrison Multi-Specialties Companies Inc CurrentSince Oct 23, 2019 Accepting new patients
Nurturing You Women's Health & Wellness, Inc. Current Accepting new patients
Pioneers Memorial Healthcare District Past Accepting new patients
El Centro Regional Medical Center Past Accepting new patients

Locations

1810 Fullerton Ave
Ste 203
Corona, CA 92881
Phone (951) 934-0505

3633 Camino del Rio S
Ste 300
San Diego, CA 92108
Phone (619) 287-0404

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10718/brand/3/csg/1/fhir/r4
  • Direct secure messaging: leita.harris.1@10718.direct.athenahealth.com

Organizations & group practices 4

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": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524441600000",
    "number": "1114118023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 FULLERTON AVE",
            "address_2": "STE 203",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813109",
            "telephone_number": "844-845-8737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 FULLERTON AVE",
            "address_2": "STE 203",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813109",
            "telephone_number": "844-845-8737",
            "fax_number": "855-300-6748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "LEITA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2018-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "G064281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEITA",
            "last_name": "SADLER",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.