Active NPI
Dazereal Lefler
- Peer Specialist
- Lake Elsinore, CA
National Provider Identifier
1346057023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 31772 Casino Dr
Lake Elsinore, CA 92530-4502 - Phone
- (951) 674-9400
- NPI assigned
- Dec 16, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | 225400000X | CA | |
| Community Health Worker | 172V00000X | 172V00000X | CA | |
| Peer Specialist | 175T00000X | CA | Primary |
Addresses
Primary practice location
31772 Casino Dr
Lake Elsinore, CA 92530-4502
Mailing address
31772 Casino Dr
Lake Elsinore, CA 92530-4502
Phone (951) 674-9400
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 172V00000X | CA | MD | Community Health Worker |
| 225400000X | CA | MD | Rehabilitation Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757980800000",
"number": "1346057023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31772 CASINO DR",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925304502",
"telephone_number": "951-674-9400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31772 CASINO DR",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925304502",
"telephone_number": "951-674-9400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEFLER",
"first_name": "DAZEREAL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-16",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "CA",
"license": "225400000X",
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "CA",
"license": "172V00000X",
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Elsinore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.