Organization Active NPI

Scott M. Leeds, MD, a Medical Corporation

  • Specialist
  • Beverly Hills, CA
National Provider Identifier
1316108996
Registry record updated Dec 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A79005 Issued in CA
Legal business name
SCOTT M. LEEDS, MD, A MEDICAL CORPORATION
Practice address
415 N Crescent Dr Ste 225
Beverly Hills, CA 90210-6809
Phone
(310) 777-0159
Fax
(310) 777-0160
NPI assigned
Jun 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2009

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

Authorized official

Name
Ariel Z Weeks
Title
Biller
Phone
(310) 740-2601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A79005 CA Primary

Addresses

Primary practice location

415 N Crescent Dr Ste 225
Beverly Hills, CA 90210-6809

Mailing address

PO Box 5801
Beverly Hills, CA 90209-5801
Phone (310) 777-0159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090512000202 CA Part B Supplier - Clinic/Group Practice 0547318032 Receives reassigned benefits from 1 practitioner
Practice locations: Beverly Hills, CA

National Provider Directory

National Provider Directory

Locations

415 N Crescent Dr
Ste 225
Beverly Hills, CA 90210
Phone (310) 247-8282

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260489600000",
    "number": "1316108996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5801",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902095801",
            "telephone_number": "310-777-0159",
            "fax_number": "310-777-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N CRESCENT DR STE 225",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902106809",
            "telephone_number": "310-777-0159",
            "fax_number": "310-777-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT M. LEEDS, MD, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2009-12-11",
        "status": "A",
        "authorized_official_last_name": "WEEKS",
        "authorized_official_first_name": "ARIEL",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "310-740-2601"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A79005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.