Individual provider Active NPI

Leigh Ann O'Banion, M.D.

  • Vascular Surgery Physician
  • Fresno, CA
National Provider Identifier
1194023259
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
A118964 Issued in CA
Practice address
1247 E Alluvial Ave Ste 101
Fresno, CA 93720-2686
Phone
(559) 431-6226
NPI assigned
Mar 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A118964 CA
Vascular Surgery Physician 2086S0129X A118964 CA Primary

Addresses

Primary practice location

1247 E Alluvial Ave Ste 101
Fresno, CA 93720-2686

Mailing address

2625 E Divisadero Street
Fresno, CA 93721-1431

Other practice location 1

6215 N Fresno St Ste 103
Fresno, CA 93710-5267
Phone (559) 431-6226

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
I20170612003036 CA Practitioner - Vascular Surgery 4587958715 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Louisiana State University School of Medicine in New Orleans, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central California Faculty Medical Group IncGroup PAC ID 8325952773, 256 clinicians

Practice addresses (Care Compare)

1247 E Alluvial Ave
Suite 101
Fresno, CA 93720-2686
Phone (559) 431-6226

Hospital & facility affiliations

  • Community Regional Medical Center Hospital, Fresno, CA, CCN 050060
  • Clovis Community Medical Center Hospital, Clovis, CA, CCN 050492

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as group
Quality
76.71
Promoting interoperability
100
Improvement activities
40
Cost
74

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Varicose vein removal38
Leg revascularization (restoring blood flow)24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A118964CAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central California Faculty Medical Group, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Central California Faculty Medical Group, Inc. CurrentSince Dec 1, 2024 Accepting new patients
University Faculty Associates, Inc. CurrentSince Jul 15, 2017 Accepting new patients
United Health Centers of the San Joaquin Valley Past Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

2335 E Kashian Ln
Ste 240
Fresno, CA 93701
Phone (559) 320-0545

255 N Herwaldt Dr
Fresno, CA 93701
Phone (559) 459-7300

2625 E Divisadero St
Fresno, CA 93721
Phone (559) 453-5200

1247 E Alluvial Ave
Ste 101
Fresno, CA 93720
Phone (559) 431-6226

290 N Wayte Ln
Ste 2200
Fresno, CA 93701

6215 N Fresno St
Ste 103
Fresno, CA 93710
Phone (559) 431-6226

15 E Audubon Dr
Fresno, CA 93720
Phone (559) 433-8000

2335 E Kashian Ln
Ste 410
Fresno, CA 93701
Phone (559) 266-4100

Interoperability endpoints

  • Direct secure messaging: leigh.ann.o.banion.1@31788.direct.athenahealth.com
  • Direct secure messaging: leigh.ann.o.banion.1@17661.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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1300060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1194023259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 E DIVISADERO STREET",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1247 E ALLUVIAL AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202686",
            "telephone_number": "559-431-6226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6215 N Fresno St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937105267",
            "country_code": "US",
            "telephone_number": "559-431-6226",
            "fax_number": "559-440-9005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BANION",
        "first_name": "LEIGH ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-14",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A118964",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A118964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.