Individual provider Active NPI

Leanne Rae Perez, NP

  • Acute Care Nurse Practitioner
  • Stanford, CA
National Provider Identifier
1285779058
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
NP 17007 Issued in CA
Practice address
300 Pasteur Dr
Department of CV Surgery, Falk Building 2ND Floor
Stanford, CA 94305-2200
Phone
(650) 725-0524
NPI assigned
Feb 20, 2007
Last updated
Jan 11, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X NP 17007 CA Primary

Addresses

Primary practice location

300 Pasteur Dr
Department of CV Surgery, Falk Building 2ND Floor
Stanford, CA 94305-2200

Mailing address

PO Box 400
Redwood City, CA 94064-0400
Phone (650) 387-3940

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
I20070412000121 CA Practitioner - Nurse Practitioner 3072618511 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP 17007CAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Current Accepting new patients
Stanford Health Care Current Accepting new patients
Cep America-California CurrentSince Apr 1, 2025 Accepting new patients
Cep America - California CurrentSince Apr 1, 2025 Accepting new patients
Solano Gateway Medical Group Inc CurrentSince Sep 15, 2021 Accepting new patients

Locations

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

170 Alameda de las Pulgas
Redwood City, CA 94062
Phone (650) 367-5536

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

2000 Vale Rd
San Pablo, CA 94806
Phone (510) 235-7000

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

300 Pasteur Dr
Bldg 2ND
Stanford, CA 94305
Phone (650) 725-0524

Organizations & group practices 5

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": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1285779058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940640400",
            "telephone_number": "650-387-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "address_2": "DEPARTMENT OF CV SURGERY, FALK BUILDING 2ND FLOOR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-725-0524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "LEANNE",
        "middle_name": "RAE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "NP 17007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, CA

Sources for this page

Verify at the official NPI Registry.