Active NPI
Shelby C. Leuin, MD
- Pediatric Otolaryngology Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Otolaryngology Physician
- License
- A112930
- Practice address
- 3030 Childrens Way
Ste 402
San Diego, CA 92123-4232 - Phone
- (858) 309-7701
- NPI assigned
- May 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | A112930 | CA | |
| Pediatric Otolaryngology Physician | 207YP0228X | A112930 | CA | Primary |
Addresses
Primary practice location
3030 Childrens Way
Ste 402
San Diego, CA 92123-4232
Mailing address
3860 Calle Fortunada
Ste #210
San Diego, CA 92123-4802
Phone (858) 309-6303
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Un of California, Irvine, College of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3010 Childrens Way
San Diego, CA 92123-4223
Phone (858) 576-1700
3020 Children'S Way
San Diego, CA 92123-4223
Phone (858) 576-1700
3030 Childrens Way
San Diego, CA 92123-4232
Phone (858) 576-1700
477 N El Camino Real
BLDG D
Encinitas, CA 92024-1328
Phone (619) 713-5375
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A112930 | CA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rady Children'S Hospital San Diego | Current | Accepting new patients | |
| Rady Children'S Hospital San Diego | Current | Accepting new patients | |
| Marilyn Kaufhold, M.D., a Medical Corporation | Past | Accepting new patients | |
| Children'S Hospital Colorado | Past | Accepting new patients |
Locations
25170 Hancock Ave
Murrieta, CA 92562
Phone (858) 757-3277
3605 Vista Way
Ste 172
Oceanside, CA 92056
Phone (760) 547-1000
3030 Childrens Way
Fl 1
San Diego, CA 92123
Phone (858) 966-8800
3020 Childrens Way
#5024
San Diego, CA 92123
Phone (858) 966-8030
3020 Childrens Way
San Diego, CA 92123
Phone (858) 966-5841
3030 Childrens Way
Ste 402
San Diego, CA 92123
Phone (858) 309-7701
Interoperability endpoints
- sleuin80979@radychildrens.direct-ci.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 and National Provider Directory roles.
-
- Pediatrics Physician
- San Diego, CA
- NPI 1669617197
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Diego, CA
- NPI 1851303994
-
- Children's Hospital
- San Diego, CA
- NPI 1336359389
-
- Children's Hospital
- Aurora, CO
- NPI 1336245828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320883200000",
"number": "1124230909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3860 CALLE FORTUNADA",
"address_2": "STE #210",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234802",
"telephone_number": "858-309-6303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 CHILDRENS WAY",
"address_2": "STE 402",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234232",
"telephone_number": "858-309-7701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEUIN",
"first_name": "SHELBY",
"middle_name": "C.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-04",
"last_updated": "2011-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "A112930",
"primary": false
},
{
"code": "207YP0228X",
"taxonomy_group": "",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "CA",
"license": "A112930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Nov 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.