Kayla Aviva Lebo, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

104425 Issued in CA

Practice address

450 Sutter St RM 2307
San Francisco, CA 94108-4209

Phone

(415) 724-6344

NPI assigned

Jul 16, 2020

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

Electronic endpoints 1

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": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1245848126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 SUTTER ST RM 2307",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084209",
            "telephone_number": "415-724-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SUTTER ST RM 2307",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941084209",
            "telephone_number": "415-724-6344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBO",
        "first_name": "KAYLA",
        "middle_name": "AVIVA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "104425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KAYLA@DRKAYLALEBO.COM",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "address_1": "450 Sutter St Rm 2307",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941084209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Paul C. Lebby, PH.D.
• Christine Leblanc, COUNSELOR
• Malage Leblanc
• Martin Raoul Leblanc, MD
• Danielle C Leblue - Shepperd
• Philip Emanuel Leboit, M.D.
• Ivana Lebron
• Elizabeth Jane Lebrun, PSYD
• Cesar Lecaros, NP
• Kimberly Gillian Lechmaier-Soat, OTR/L

• Dentist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.