Active NPI
Vladimir Leibovsky, D.O.
- Obstetrics & Gynecology Physician
- Stockton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 20A13003
- Practice address
- 2545 W Hammer LN
Stockton, CA 95209-2839 - Phone
- (209) 957-7050
- NPI assigned
- Apr 17, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 20A13003 | CA | Primary |
Addresses
Primary practice location
2545 W Hammer LN
Stockton, CA 95209-2839
Mailing address
600 Coffee Rd
Modesto, CA 95355-4201
Phone (209) 521-6097
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
- Obstetrics/Gynecology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
337 Eldorado St
Suite B4
Monterey, CA 93940
Phone (831) 373-2486
Hospital & facility affiliations
- Community Hospital of the Monterey Peninsula
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A13003 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DHP of California Medical Group Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Laima OBGYN Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Port City Operating Company, LLC | Past | Accepting new patients | |
| Franciscan Health System | Past | Accepting new patients |
Locations
333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280
337 El Dorado St
Ste B4
Monterey, CA 93940
Phone (831) 373-2486
1800 N California St
Stockton, CA 95204
Phone (209) 467-6400
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JBGGAD/Endpoint/JBGGAD
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.
-
- Obstetrics & Gynecology Physician
- Monterey, CA
- NPI 1639626161
-
- Obstetrics & Gynecology Physician
- Stockton, CA
- NPI 1679836084
-
- General Acute Care Hospital
- Stockton, CA
- NPI 1528190931
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1952309098
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Monterey, CA
- NPI 1679562169
-
- General Acute Care Hospital
- Monterey, CA
- NPI 1932197258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383782400000",
"number": "1184898397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 COFFEE RD",
"city": "MODESTO",
"state": "CA",
"postal_code": "953554201",
"telephone_number": "209-521-6097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2545 W HAMMER LN",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952092839",
"telephone_number": "209-957-7050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEIBOVSKY",
"first_name": "VLADIMIR",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-17",
"last_updated": "2013-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "20A13003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; 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.