Individual provider Active NPI

Andrea Leber, CMF

  • Mastectomy Fitter
  • Encinitas, CA
National Provider Identifier
1295449759
Registry record updated Mar 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mastectomy FitterTaxonomy code 224900000X
License
C72574
Practice address
741 Garden View CT Ste 208
Encinitas, CA 92024-2472
Phone
(804) 938-1032
NPI assigned
Jan 10, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 83091 CA
Mastectomy Fitter 224900000X C72574 Primary

Addresses

Primary practice location

741 Garden View CT Ste 208
Encinitas, CA 92024-2472

Mailing address

2237 Lagoon View Dr
Cardiff by the Sea, CA 92007-1505

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL peaksandvalleysprn@gmail.com Direct

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230324000889 CA Practitioner - Clinical Social Worker 7618341124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peaks and Valleys PRN LLC Clinical CurrentSince Sep 26, 2022 Accepting new patients

Locations

741 Garden View Ct
Ste 208
Encinitas, CA 92024
Phone (516) 885-4166

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743206400000",
    "number": "1295449759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2237 LAGOON VIEW DR",
            "city": "CARDIFF BY THE SEA",
            "state": "CA",
            "postal_code": "920071505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 GARDEN VIEW CT STE 208",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242472",
            "telephone_number": "804-938-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBER",
        "first_name": "ANDREA",
        "credential": "CMF",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-10",
        "last_updated": "2025-03-29",
        "certification_date": "2025-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "83091",
            "primary": false
        },
        {
            "code": "224900000X",
            "taxonomy_group": "",
            "desc": "Mastectomy Fitter",
            "state": null,
            "license": "C72574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "peaksandvalleysprn@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2237 Lagoon View Dr",
            "city": "Cardiff By The Sea",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920071505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.