Active NPI
Daniel Leblanc
- Surgery Physician
- Garden Grove, CA
National Provider Identifier
1346020013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A66989
- Practice address
- 13032 Kerry St
Garden Grove, CA 92844-1625 - Phone
- (970) 306-4333
- NPI assigned
- Oct 2, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A66989 | CA | Primary |
Addresses
Primary practice location
13032 Kerry St
Garden Grove, CA 92844-1625
Mailing address
13032 Kerry St
Garden Grove, CA 92844-1625
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696204800000",
"number": "1346020013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13032 KERRY ST",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928441625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13032 KERRY ST",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928441625",
"telephone_number": "970-306-4333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEBLANC",
"first_name": "DANIEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-10-02",
"last_updated": "2023-10-02",
"certification_date": "2023-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "CA",
"license": "A66989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.