Leslie Reginio Zacarias

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

PT28299 Issued in CA

Practice address

11926 La Mirada Blvd
La Mirada, CA 90638-1303

Phone

(562) 943-7156

NPI assigned

Jun 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194921882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13474 RAMONA PKWY",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917063944",
            "telephone_number": "626-374-9811",
            "fax_number": "626-472-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11926 LA MIRADA BLVD",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906381303",
            "telephone_number": "562-943-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACARIAS",
        "first_name": "LESLIE",
        "middle_name": "REGINIO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "PT28299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• June J You
• Hyeongjin Youn, L.AC.
• Maricela Young, M.S., OTR/L
• Babak Yousefi, DDS
• Lindsey Sue-Anne Yuen, FNP
• Valentin Carlos Zamora
• Fatima Zelada-Arenas
• Kayla Elisa Zuniga

• Skilled Nursing Facility in La Mirada, CA
• Providers in La Mirada, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.