Individual provider Active NPI

Philip Emanuel Leboit, M.D.

  • Dermatopathology (Pathology) Physician
  • San Francisco, CA
National Provider Identifier
1154385938
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
G43513 Issued in CA
Practice address
1701 Divisadero St
Suite 335
San Francisco, CA 94115-3011
Phone
(415) 353-7546
NPI assigned
Apr 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X G43513 CA Primary

Addresses

Primary practice location

1701 Divisadero St
Suite 335
San Francisco, CA 94115-3011

Mailing address

PO Box 10076
Van Nuys, CA 91410-0076
Phone (805) 578-8300

Other identifiers 1

IdentifierTypeStateIssuer
00G435130OtherCAMEDI-CAL

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
I20080409000475 CA Practitioner - Pathology 7214823426 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43513CAMDPediatric Dentist
G43513CAMDDermatopathology (Pathology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Jul 1, 2007 Accepting new patients
University of California San Francisco CurrentSince Jul 1, 2007 Accepting new patients
University of California San Francisco Current Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
UCSF Medical Group Business Services Past Accepting new patients
UCSF Dermatopathology Service PastSince Jun 1, 2020 Accepting new patients
UCSF Medical Group Business Services Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

1600 Divisadero St
San Francisco, CA 94143
Phone (415) 567-6600

1701 Divisadero St
Rm 280
San Francisco, CA 94115
Phone (415) 353-7535

1701 Divisadero St
Rm 334
San Francisco, CA 94115
Phone (800) 497-0244

1701 Divisadero St
Ste 280
San Francisco, CA 94115
Phone (415) 514-6200

1701 Divisadero St
Ste 335
San Francisco, CA 94115
Phone (415) 353-7546

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: pleboit22604@direct-ucsfmedicalcenter.org

Organizations & group practices 8

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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154385938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10076",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914100076",
            "telephone_number": "805-578-8300",
            "fax_number": "805-578-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 DIVISADERO ST",
            "address_2": "SUITE 335",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153011",
            "telephone_number": "415-353-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBOIT",
        "first_name": "PHILIP",
        "middle_name": "EMANUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "CA",
            "license": "G43513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "00G435130",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.