Active NPI
Leonid A Tolstunov, DDS, DMD
- Oral and Maxillofacial Pathology Dentistry
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Pathology Dentistry
- License
- 40500
- Practice address
- 99 W Portal Ave
San Francisco, CA 94127-1303 - Phone
- (415) 661-6006
- NPI assigned
- Jan 25, 2007
- Last updated
- Jul 8, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 7X7 Dental Implant & Oral Surgery Specialists | Past | Accepting new patients | |
| Andrew Ferrier, DDS, Corp | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
dba West Portal Oral and Facial Surgery Center
- Oral and Maxillofacial Surgery Clinic/Center
- San Francisco, CA
- NPI 1356693568
-
dba East Bay Healthy Smiles Lafayette
- Prosthodontics
- Lafayette, CA
- NPI 1922370667
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.