Active NPI
Patrice McLeod, D.D.S.
- Dentist
- Pomona, CA
National Provider Identifier
1194769349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- SP303
- Practice address
- 309 E 2ND St
Pomona, CA 91766-1854 - Phone
- (407) 739-1800
- NPI assigned
- Jun 16, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | SP303 | CA | Primary |
Addresses
Primary practice location
309 E 2ND St
Pomona, CA 91766-1854
Mailing address
1317 S Diamond Bar Blvd Unit 4306
Diamond Bar, CA 91765-5614
Phone (407) 739-1800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP303 | CA | MD | Dentist |
Networks
- Freedom Health HMO Network
Interoperability endpoints
- patrice.mcleod.p1@direct.mcg-hhs.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706832000000",
"number": "1194769349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1317 S DIAMOND BAR BLVD UNIT 4306",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917655614",
"telephone_number": "407-739-1800",
"fax_number": "301-668-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 E 2ND ST",
"city": "POMONA",
"state": "CA",
"postal_code": "917661854",
"telephone_number": "407-739-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLEOD",
"first_name": "PATRICE",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-16",
"last_updated": "2024-02-02",
"certification_date": "2024-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "SP303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.