Individual provider Active NPI

Deborah Ann Leal, N.P-F

  • Family Nurse Practitioner
  • Larkspur, CA
National Provider Identifier
1306155908
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95011757 Issued in CA
Practice address
2 Bon Air Rd Ste 100
Larkspur, CA 94939-1144
Phone
(415) 927-0666
Fax
(415) 927-6168
NPI assigned
Sep 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95011757 CA Primary

Addresses

Primary practice location

2 Bon Air Rd Ste 100
Larkspur, CA 94939-1144

Mailing address

2 Bon Air Rd Ste 100
Larkspur, CA 94939-1144
Phone (415) 927-0666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20110415000260 WI Practitioner - Nurse Practitioner 5890979843 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Services, Inc Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dleal121296@direct-ucsfmedicalcenter.org

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": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1306155908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BON AIR RD STE 100",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391144",
            "telephone_number": "415-927-0666",
            "fax_number": "415-927-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BON AIR RD STE 100",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391144",
            "telephone_number": "415-927-0666",
            "fax_number": "415-927-6168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAL",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "credential": "N.P-F",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95011757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Larkspur, CA

Sources for this page

Verify at the official NPI Registry.