Individual provider Active NPI

Scott Howard Leibold, D.P.M

  • Primary Podiatric Medicine Podiatrist
  • Pomona, CA
National Provider Identifier
1326138355
Registry record updated Sep 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
E4073 Issued in CA
Practice address
68 Rising Hill Rd
Pomona, CA 91766-4918
Phone
(805) 217-7824
Fax
(818) 924-4217
NPI assigned
Oct 13, 2006
Last updated
Sep 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X E4073 CA Primary

Addresses

Primary practice location

68 Rising Hill Rd
Pomona, CA 91766-4918

Mailing address

68 Rising Hill Rd
Pomona, CA 91766-4918
Phone (805) 217-7824

Other names 1

  • Dr. Scott Howard Leibold Professional name

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040524001455 CA Practitioner - Podiatry 4880675172 Practice locations: Fontana, CA; San Bernardino, CA; Riverside, CA; Pomona, CA; Indio, CA; Colton, CA; Camarillo, CA

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E4073CAMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Royal Health Specialist Inc. CurrentSince Sep 14, 2025 Accepting new patients
Michael D. Kotzen, Inc. PastSince Sep 13, 2020 Accepting new patients
Foothill Serenity Living LLC PastSince Dec 17, 2023 Accepting new patients
Msji Home Inc Past Accepting new patients
Compassionate Touch Hospice Care, Inc. PastSince Feb 6, 2013 Accepting new patients
Toe-Tal Family Footcare Associates Podiatrist PastSince Dec 1, 2012 Accepting new patients
First Care Medical Group Inc. PastSince Jul 24, 2022 Accepting new patients
Angels Assisted Living Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://drchrono-fhirpresentation.everhealthsoftware.com/fhir/drchrono/509568/r4

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757203200000",
    "number": "1326138355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 RISING HILL RD",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917664918",
            "telephone_number": "805-217-7824",
            "fax_number": "818-924-4217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 RISING HILL RD",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917664918",
            "telephone_number": "805-217-7824",
            "fax_number": "818-924-4217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIBOLD",
        "first_name": "SCOTT",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2025-09-07",
        "certification_date": "2025-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "CA",
            "license": "E4073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SCOTT",
            "last_name": "LEIBOLD",
            "middle_name": "HOWARD",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.