Active NPI
Leena S Sheth, M.D
- Legal Medicine
- Pomona, CA
National Provider Identifier
1255365722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- A46030
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A460300 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A46030 | CA | MD | Legal Medicine |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise and Indianhill Medical Clinic Inc | Current | 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.
-
- Internal Medicine Physician
- Rancho Cucamonga, CA
- NPI 1154913788
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1518067586
-
- General Acute Care Hospital
- Montclair, CA
- NPI 1992721161
-
- General Acute Care Hospital
- Upland, CA
- NPI 1780681189
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.