Individual provider Active NPI

Leevaneigh Reghunathan, M.D.

  • Internal Medicine Physician
  • Porterville, CA
National Provider Identifier
1295148328
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A136165 Issued in CA
Practice address
465 W Putnam Ave
Porterville, CA 93257-3320
Phone
(559) 784-1110
NPI assigned
Jun 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A136165 CA Primary

Addresses

Primary practice location

465 W Putnam Ave
Porterville, CA 93257-3320

Mailing address

26411 Tangelo Way
Loma Linda, CA 92354-6106

Other names 1

  • Leevaneigh Digdigan Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150911002157 CA Practitioner - Internal Medicine 7315254091 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient Specialists of California PCGroup PAC ID 3476864448, 373 clinicians
Southern California Permanente Medical GroupGroup PAC ID 6002729175, shared by 4 NPIs, 11,250 clinicians

Practice addresses (Care Compare)

1800 N California St
Stockton, CA 95204-6019
Phone (209) 943-2000

1805 Medical Ctr Dr
San Bernardino, CA 92411-1217
Phone (909) 887-6333

2101 N Waterman Ave
San Bernardino, CA 92404-4836
Phone (909) 883-8711

2295 S Vineyard Ave
Ontario, CA 91761-7925
Phone (909) 724-5000

9961 Sierra Ave
Fontana, CA 92335-6720
Phone (909) 427-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A136165CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Galen Inpatient Physicians PC CurrentSince May 1, 2018 Accepting new patients
Vituity Hospitalists PC Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
24 On Physicians of California, PC CurrentSince Aug 15, 2015 Accepting new patients
Southern California Permanente Medical Group CurrentSince Aug 1, 2019 Accepting new patients
Southern California Permanente Medical Group CurrentSince Aug 1, 2019 Accepting new patients
Southern California Permanente Medical Group CurrentSince Mar 4, 2020 Accepting new patients
Inpatient Specialists of California, PC Internal Medicine CurrentSince Feb 6, 2024 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Quantum Healthcare Medical Associates Inc. Internal Medicine CurrentSince Jul 5, 2023 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Galen Inpatient Physicians Inc Internal Medicine CurrentSince May 1, 2018 Accepting new patients
Vituity Hospitalists PC Internal Medicine CurrentSince Oct 1, 2018 Accepting new patients
Galen Inpatient Physicians, PC Current Accepting new patients

Locations

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800

1415 Ross Ave
El Centro, CA 92243
Phone (760) 339-4045

9961 Sierra Ave
Fontana, CA 92335
Phone (909) 427-3910

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

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

400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

2175 Rosaline Ave
Redding, CA 96001
Phone (530) 225-7247

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

888 S Hill Rd
Ventura, CA 93003
Phone (805) 477-6400

5601 De Soto Ave
Woodland Hls, CA 91367
Phone (818) 719-2000

Organizations & group practices 13

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 13

Hospital & facility affiliations 2

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": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1295148328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26411 TANGELO WAY",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923546106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 W PUTNAM AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573320",
            "telephone_number": "559-784-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGHUNATHAN",
        "first_name": "LEEVANEIGH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-05",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A136165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEEVANEIGH",
            "last_name": "DIGDIGAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Porterville, CA

Sources for this page

Verify at the official NPI Registry.