Individual provider Active NPI

Leslie Oldham, NP

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1164880506
Registry record updated Jan 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95003181 Issued in CA
Practice address
1127 Wilshire Blvd Ste 1400
Los Angeles, CA 90017-4005
Phone
(213) 975-9990
NPI assigned
Jan 31, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95003181 CA Primary

Addresses

Primary practice location

1127 Wilshire Blvd Ste 1400
Los Angeles, CA 90017-4005

Mailing address

1127 Wilshire Blvd Ste 1400
Los Angeles, CA 90017-4005

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160502000390 CA Practitioner - Nurse Practitioner 6204135965 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of California, Irvine, California College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Torrance Health Association IncGroup PAC ID 1355302134, 298 clinicians

Practice addresses (Care Compare)

824 E Carson St
Suite 203
Carson, CA 90745-2262
Phone (310) 543-5448

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Usc Care Medical Group, Inc CurrentSince May 1, 2016 Accepting new patients
Torrance Health Association Inc CurrentSince Jan 6, 2025 Accepting new patients
Usc Care Medical Group, Inc CurrentSince May 1, 2016 Accepting new patients
Beach Cities Orthopedics & Sports Medicine CurrentSince Jul 20, 2021 Accepting new patients
Beach Cities Orthopedics and Sports Medicine CurrentSince Jul 20, 2021 Accepting new patients

Locations

824 E Carson St
Ste 203
Carson, CA 90745
Phone (310) 543-5448

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

1127 Wilshire Blvd
Ste 1400
Los Angeles, CA 90017
Phone (213) 975-9990

400 S Sepulveda Blvd
Ste 200
Manhattan Beach, CA 90266
Phone (310) 546-3461

514 N Prospect Ave
Fl 4
Redondo Beach, CA 90277
Phone (310) 750-3300

23326 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 257-7205

2990 Lomita Blvd
#B
Torrance, CA 90505
Phone (310) 546-3461

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454198400000",
    "number": "1164880506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 WILSHIRE BLVD STE 1400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 WILSHIRE BLVD STE 1400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174005",
            "telephone_number": "213-975-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDHAM",
        "first_name": "LESLIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-31",
        "last_updated": "2016-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95003181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.