Individual provider Active NPI

Leanne Bousmail

  • Physician Assistant
  • Trabuco Canyon, CA
National Provider Identifier
1194479436
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
31951 Dove Canyon Dr
Trabuco Canyon, CA 92679-3718
Phone
(714) 905-4329
NPI assigned
Feb 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

31951 Dove Canyon Dr
Trabuco Canyon, CA 92679-3718

Mailing address

31951 Dove Canyon Dr
Trabuco Canyon, CA 92679-3718

Other practice location 1

1731 E 120th St
Los Angeles, CA 90059-3051
Phone (323) 563-4800

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
I20240417003668 CA Practitioner - Physician Assistant 1153760517 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HMTS IncGroup PAC ID 1951750413, 118 clinicians

Practice addresses (Care Compare)

1190 Baker St
Suite 105
Costa Mesa, CA 92626-4105
Phone (714) 477-8460

15000 Kensington Park Dr
Suite 170
Tustin, CA 92782-1836
Phone (714) 477-8300

19582 Beach Blvd
Suite 180
Huntington Beach, CA 92648-5978
Phone (714) 477-8050

21115 Newport Coast Dr
Newport Beach, CA 92657-1122
Phone (949) 557-0730

26671 Aliso Creek Rd
Suite 101
Aliso Viejo, CA 92656-4807
Phone (949) 791-3107

26672 Portola Pkwy
Suite 100
Foothill Ranch, CA 92610-1773
Phone (949) 557-0710

31951 Dove Canyon Dr
Trabuco Canyon, CA 92679-3749
Phone (949) 557-0880

3877 Portola Pkwy
Irvine, CA 92602-0828
Phone (949) 557-0720

49000 Barranca Pkwy
Suite 103
Irvine, CA 92604-8603
Phone (949) 791-3106

6340 Irvine Blvd
Suite 200
Irvine, CA 92620-2102
Phone (949) 559-6500

8607 Irvine Ctr Dr
Irvine, CA 92618-4219
Phone (949) 557-0600

Hospital & facility affiliations

  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
62665CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Cypress Urgent Care, Inc PastSince Oct 1, 2009 Accepting new patients

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 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": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1194479436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31951 DOVE CANYON DR",
            "city": "TRABUCO CANYON",
            "state": "CA",
            "postal_code": "926793718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31951 DOVE CANYON DR",
            "city": "TRABUCO CANYON",
            "state": "CA",
            "postal_code": "926793718",
            "telephone_number": "714-905-4329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1731 E 120th St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900593051",
            "country_code": "US",
            "telephone_number": "323-563-4800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUSMAIL",
        "first_name": "LEANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-07",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trabuco Canyon, CA

Sources for this page

Verify at the official NPI Registry.