Individual provider Active NPI

Leonid Treyger, M.D

  • Family Medicine Physician
  • Sacramento, CA
National Provider Identifier
1336178102
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A64930 Issued in CA
Practice address
3234 Marysville BL
Sacramento, CA 95815-1411
Phone
(916) 646-1200
Fax
(877) 860-2703
NPI assigned
Jul 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A64930 CA Primary

Addresses

Primary practice location

3234 Marysville BL
Sacramento, CA 95815-1411

Mailing address

200 Oceangate
#100
Long Beach, CA 90802-4317
Phone (562) 499-6191

Other identifiers 3

IdentifierTypeStateIssuer
P01222614/ DS9933OtherCARAILROAD MEDICARE-CITRUS HEIGHTS, MACK RD
P01465686 - DV5277OtherCARR MEDICARE - CITRUS HEIGHTS, MACK RD, MARYSVILLE, 55TH ST & NORWOOD LOCATIONS
00A649300MedicaidCA

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061106000249 CA Practitioner - Family Practice 4789681784 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Molina Medical Centers Family Medicine Past Accepting new patients
Hanh Truong, M.D., PA Past Accepting new patients
Molina Healthcare of California Family Medicine Past Accepting new patients
Molina Healthcare of California Family Medicine Past Accepting new patients
Molina Healthcare of California Past Accepting new patients

Organizations & group practices 6

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": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437436800000",
    "number": "1336178102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OCEANGATE",
            "address_2": "#100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024317",
            "telephone_number": "562-499-6191",
            "fax_number": "877-860-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3234 MARYSVILLE BL",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958151411",
            "telephone_number": "916-646-1200",
            "fax_number": "877-860-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREYGER",
        "first_name": "LEONID",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2015-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A64930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE-CITRUS HEIGHTS, MACK RD",
            "identifier": "P01222614/ DS9933",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE - CITRUS HEIGHTS, MACK RD, MARYSVILLE, 55TH ST & NORWOOD LOCATIONS",
            "identifier": "P01465686 - DV5277",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A649300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.