Vacca,Morgan,Khosla,Leppla,Demers,Sekhon,& Blake, LTD

Primary specialty

SpecialistTaxonomy code 174400000X

License

G87027 Issued in CA

Legal business name

VACCA,MORGAN,KHOSLA,LEPPLA,DEMERS,SEKHON,& BLAKE, LTD

Doing business as

SNG Specialists

Practice address

611 West Line Street
Bishop, CA 93514-3314

Phone

(775) 789-3986

NPI assigned

Apr 12, 2016

Last updated

Aug 23, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David C Leppla, M.D.

Title

Managing Partner

Phone

(775) 789-3986

Specialties & licenses 5

Addresses

Other names 1

• SNG Specialists Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deven Khosla, M.D.

  • Neurological Surgery Physician
  • Santa Monica, CA
  • NPI 1013962885
  NPD (past)

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471910400000",
    "number": "1255795662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5590 KIETZKE LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895113019",
            "telephone_number": "775-789-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 WEST LINE STREET",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935143314",
            "telephone_number": "775-789-3986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VACCA,MORGAN,KHOSLA,LEPPLA,DEMERS,SEKHON,& BLAKE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-08-23",
        "status": "A",
        "authorized_official_last_name": "LEPPLA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "775-789-3986",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A116313",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G87027",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A91029",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "C52516",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A95206",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SNG Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Tran, PHARMD
• Lisa Trunnell
• Jessica Tucker
• James Tur, MD
• Sheila J Turner, CADC II
• Valley Health Team Inc (Bishop Community Health Center)
• Valley Health Team, Inc (Bishop Community Health Center)
• Valley Health Team, Inc (Valley Health Team Mobile Medical)
• Jacey Van Dyk
• VCD Associates LLC

• Specialist in Bishop, CA
• Providers in Bishop, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.