Individual provider Active NPI

Leslie A. Langley, DNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • North Hollywood, CA
National Provider Identifier
1255779120
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
22671 Issued in CA
Practice address
4789 Vineland Ave Ste 101
North Hollywood, CA 91602-3518
Phone
(323) 568-1654
Fax
(323) 826-5346
NPI assigned
Jun 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X FNP22671 CA
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X FNP22671 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 22671 CA Primary

Addresses

Primary practice location

4789 Vineland Ave Ste 101
North Hollywood, CA 91602-3518

Mailing address

4789 Vineland Ave Ste 101
North Hollywood, CA 91602-3518
Phone (323) 568-1654

Other identifiers 2

IdentifierTypeStateIssuer
CALIFORNIAMedicaidCA
363LP0808XMedicaidCA

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201005002033 CA Practitioner - Nurse Practitioner 9638487952 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Massachusetts Medical School, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4940 Van Nuys Blvd
Suite 307
Sherman Oaks, CA 91403-1700
Phone (323) 568-1654

9375 San Fernando Rd
Sun Valley, CA 91352-1428
Phone (818) 768-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.08 of 100Reported as group
Quality
46.85
Promoting interoperability
74
Improvement activities
40
Cost
71.74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
22671CAMDPhysician Assistant
FNP22671CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Glom Outpatient Services Inc. CurrentSince Nov 1, 2024 Accepting new patients
San Joaquin County Behavioral Health Services CurrentSince Jul 28, 2025 Accepting new patients
Ehab Yacoub MD Inc. CurrentSince Aug 25, 2020 Accepting new patients
San Joaquin Behavioral Health Services Current Accepting new patients
Holding Hands Family Psychiatry and Wellness Nursing Inc Psychiatric/Mental Health CurrentSince Nov 23, 2024 Accepting new patients
County of San Joaquin CurrentSince Jul 28, 2025 Accepting new patients
Serra Community Medical Clinic, Inc. CurrentSince May 17, 2022 Accepting new patients
Kwang He Won Health Center CurrentSince Dec 10, 2023 Accepting new patients
SFV Health Center Inc CurrentSince Jan 10, 2023 Accepting new patients
Blessing Community Health Center CurrentSince Dec 1, 2022 Accepting new patients
Glom Substance Abuse Program CurrentSince Nov 1, 2024 Accepting new patients
Serra Community Medical Clinic Inc CurrentSince May 17, 2022 Accepting new patients
SFV Health Center Inc CurrentSince Jan 10, 2023 Accepting new patients
Glom Substance Abuse Program CurrentSince Nov 1, 2024 Accepting new patients
Amanecer Community Counseling Service, a Non-Profit Corporation PastSince Dec 3, 2022 Accepting new patients
Blessing Community Health Center PastSince Dec 1, 2022 Accepting new patients
Mitchell D Claire Physician Assistant PC Past Accepting new patients
VA Healthcare System PastSince Jun 23, 2024 Accepting new patients

Locations

1073 Ross Ave
Ste D
El Centro, CA 92243
Phone (760) 340-1003

13386 Marengo Rd
Galt, CA 95632
Phone (209) 745-4888

1225 W 190th St
Ste 280
Gardena, CA 90248
Phone (310) 515-8113

81709 Doctor Carreon Blvd
Ste D1
Indio, CA 92201
Phone (760) 636-2091

3123 Independence Dr
Livermore, CA 94551
Phone (209) 330-7155

1111 W Tokay St
Ste A
Lodi, CA 95240
Phone (925) 640-5426

1209 W Tokay St
Ste 5
Lodi, CA 95240
Phone (209) 331-2070

815 S Ardmore Ave
Fl 1
Los Angeles, CA 90005
Phone (213) 385-0448

1020 W Main St
Merced, CA 95340
Phone (209) 330-7155

4789 Vineland Ave
Ste 101
North Hollywood, CA 91602
Phone (323) 436-0303

17075 Devonshire St
Ste 204
Northridge, CA 91325
Phone (818) 368-8929

3972 N Waterman Ave
Ste 104
San Bernardino, CA 92404
Phone (909) 433-9700

557 N Maclay Ave
San Fernando, CA 91340
Phone (818) 639-0209

4940 Van Nuys Blvd
Sherman Oaks, CA 91403
Phone (818) 907-0952

3972 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 433-9700

130 W Flora St
Stockton, CA 95202
Phone (844) 456-6677

1212 N California St
Stockton, CA 95202
Phone (209) 468-8660

9375 San Fernando Rd
Sun Valley, CA 91352
Phone (818) 504-4700

8426 Sunland Blvd
Sun Valley, CA 91352
Phone (815) 504-4514

4940 Van Nuys Blvd
Ste 307
Van Nuys, CA 91403
Phone (323) 568-1654

22900 Ventura Blvd
Ste 340
Woodland Hills, CA 91364
Phone (310) 266-3774

Interoperability endpoints

  • Direct secure messaging: lel267pcs@m1606.primeclinicalsystems.direct-ci.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FDJDCD

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1255779120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4789 VINELAND AVE STE 101",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916023518",
            "telephone_number": "323-568-1654",
            "fax_number": "323-826-5346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4789 VINELAND AVE STE 101",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916023518",
            "telephone_number": "323-568-1654",
            "fax_number": "323-826-5346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGLEY",
        "first_name": "LESLIE",
        "middle_name": "A.",
        "credential": "DNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-12",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "FNP22671",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "CA",
            "license": "FNP22671",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "22671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CALIFORNIA",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363LP0808X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

Verify at the official NPI Registry.