Individual provider Active NPI

Leena S Sheth, M.D

  • Legal Medicine
  • Pomona, CA
National Provider Identifier
1255365722
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
A46030 Issued in CA
Practice address
1460 E Holt Ave Ste 10
Pomona, CA 91767-5835
Phone
(909) 980-3537
Fax
(909) 484-5282
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X A46030 CA Primary

Addresses

Primary practice location

1460 E Holt Ave Ste 10
Pomona, CA 91767-5835

Mailing address

1460 E Holt Ave Ste 10
Pomona, CA 91767-5835
Phone (909) 980-3537

Other practice location 1

8685 Baseline Rd Ste A
Rancho Cucamonga, CA 91730-1162
Phone (909) 980-3537

Other identifiers 1

IdentifierTypeStateIssuer
00A460300MedicaidCA

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
I20110808000296 CA Practitioner - Internal Medicine 6103095245 Practice locations: Pomona, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A46030CAMDLegal Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise and Indianhill Medical Clinic Inc CurrentSince Feb 7, 2021 Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Prime Healthcare Services - Montclair, LLC Past Accepting new patients

Locations

1460 E Holt Ave
Ste 10
Pomona, CA 91767
Phone (909) 620-5125

8685 Base Line Rd
Ste A
Rch Cucamonga, CA 91730
Phone (909) 980-3537

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1255365722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 E HOLT AVE STE 10",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675835",
            "telephone_number": "909-980-3537",
            "fax_number": "909-484-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 E HOLT AVE STE 10",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675835",
            "telephone_number": "909-980-3537",
            "fax_number": "909-484-5282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8685 Baseline Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917301162",
            "country_code": "US",
            "telephone_number": "909-980-3537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHETH",
        "first_name": "LEENA",
        "middle_name": "S",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "CA",
            "license": "A46030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A460300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.