Organization Active NPI

Leur Medicine Inc

  • Dermatology Physician
  • Newport Beach, CA
National Provider Identifier
1316340268
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
LEUR MEDICINE INC
Practice address
359 San Miguel Dr
Suite 300
Newport Beach, CA 92660-7812
Phone
(949) 200-8222
Fax
(702) 977-5672
NPI assigned
Oct 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2015

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

Authorized official

Name
Zenovia H Gabriel, MDNPI 1679769954
Title
President/Physician
Phone
(949) 200-8222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

359 San Miguel Dr
Suite 300
Newport Beach, CA 92660-7812

Mailing address

359 San Miguel Dr
Suite 300
Newport Beach, CA 92660-7812
Phone (949) 200-8222

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141202001323 CA Part B Supplier - Clinic/Group Practice 0840512844 Receives reassigned benefits from 8 practitioners
Practice locations: Newport Beach, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2089198Leur Medicine Inc359 San Miguel Dr, Ste 300, Newport Beach, CA 92660ComplianceSep 10, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1412640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442880000000",
    "number": "1316340268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 SAN MIGUEL DR",
            "address_2": "SUITE 300",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607812",
            "telephone_number": "949-200-8222",
            "fax_number": "702-977-5672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 SAN MIGUEL DR",
            "address_2": "SUITE 300",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607812",
            "telephone_number": "949-200-8222",
            "fax_number": "702-977-5672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEUR MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-07",
        "last_updated": "2015-09-22",
        "status": "A",
        "authorized_official_last_name": "GABRIEL",
        "authorized_official_first_name": "ZENOVIA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "949-200-8222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.