Individual provider Active NPI

Leonid A Tolstunov, DDS, DMD

  • Oral and Maxillofacial Pathology Dentistry
  • San Francisco, CA
National Provider Identifier
1255487179
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
40500 Issued in CA
Practice address
99 W Portal Ave
San Francisco, CA 94127-1303
Phone
(415) 661-6006
NPI assigned
Jan 25, 2007
Last updated
Jul 8, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology Dentistry 1223P0106X 40500 CA Primary

Addresses

Primary practice location

99 W Portal Ave
San Francisco, CA 94127-1303

Mailing address

54 Cresta Vista Dr
San Francisco, CA 94127-1633
Phone (415) 730-9140

Other practice location 1

54 Cresta Vista Dr
San Francisco, CA 94127-1633
Phone (415) 730-9140

Other practice location 2

1 Daniel Burnham Ct Ste 366C
San Francisco, CA 94109-5490
Phone (415) 730-9140

Other names 1

  • Dr. Len Tolstunov Professional name

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
7X7 Dental Implant & Oral Surgery Specialists PastSince Sep 27, 2020 Accepting new patients
Andrew Ferrier, DDS, Corp Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ltolstunov183820@hisp.ehr.sutterhealth.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1255487179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 CRESTA VISTA DR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941271633",
            "telephone_number": "415-730-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 W PORTAL AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941271303",
            "telephone_number": "415-661-6006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "54 Cresta Vista Dr",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941271633",
            "country_code": "US",
            "telephone_number": "415-730-9140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Daniel Burnham Ct Ste 366C",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941095490",
            "country_code": "US",
            "telephone_number": "415-730-9140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOLSTUNOV",
        "first_name": "LEONID",
        "middle_name": "A",
        "credential": "DDS, DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "CA",
            "license": "40500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEN",
            "last_name": "TOLSTUNOV",
            "prefix": "DR.",
            "credential": "DDS, DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; 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.