Organization Active NPI

Leslie a Bain MD Medical Corporation

  • Specialist
  • Newport Beach, CA
National Provider Identifier
1316255680
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A24274 Issued in CA
Legal business name
LESLIE A BAIN MD MEDICAL CORPORATION
Practice address
1441 Avocado Ave
Suite 706
Newport Beach, CA 92660-7721
Phone
(949) 720-9170
Fax
(949) 720-0755
NPI assigned
Sep 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2010

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

Authorized official

Name
Dr. Leslie Bain, MD
Title
Physician
Phone
(949) 720-9170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A24274 CA Primary

Addresses

Primary practice location

1441 Avocado Ave
Suite 706
Newport Beach, CA 92660-7721

Mailing address

1441 Avocado Ave
Suite 706
Newport Beach, CA 92660-7721
Phone (949) 720-9170

Other identifiers 1

IdentifierTypeStateIssuer
A24274AOtherMEDICARE ID

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1316255680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 AVOCADO AVE",
            "address_2": "SUITE 706",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607721",
            "telephone_number": "949-720-9170",
            "fax_number": "949-720-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 AVOCADO AVE",
            "address_2": "SUITE 706",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607721",
            "telephone_number": "949-720-9170",
            "fax_number": "949-720-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE A BAIN MD MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-09-20",
        "status": "A",
        "authorized_official_last_name": "BAIN",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "949-720-9170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A24274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "A24274A",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.