Individual provider Active NPI

Lesley C Prince, MD

  • Internal Medicine Physician
  • Northridge, CA
National Provider Identifier
1346569191
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD224145 Issued in OR
Practice address
18460 Roscoe Blvd FL 3
Northridge, CA 91325-4107
Phone
(818) 885-5480
Fax
(818) 993-1917
NPI assigned
May 19, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD224145 OR Primary
Hospitalist Physician 208M00000X A124531 CA

Addresses

Primary practice location

18460 Roscoe Blvd FL 3
Northridge, CA 91325-4107

Mailing address

3400 Data Dr
Rancho Cordova, CA 95670-7956

Other practice location 1

1225 NE 2nd Ave
Portland, OR 97232-2003
Phone (503) 944-8000

Other practice location 2

10150 SE 32nd Ave
Milwaukie, OR 97222-6516
Phone (503) 513-8641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130606000279 CA Practitioner - HospitalistPractitioner - Internal Medicine 9638317498 Reassigns benefits to 7 organizations
I20251121000874 OR Practitioner - Internal Medicine 9638317498 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Health and Services OregonGroup PAC ID 0648183608, 1,423 clinicians
Well Health Medical Group ApcGroup PAC ID 5496251613, 2 clinicians
Legacy Clinics LLCGroup PAC ID 0244144004, 714 clinicians
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians

Practice addresses (Care Compare)

10150 SE 32ND Ave
Milwaukie, OR 97222-6516
Phone (503) 513-3613

10908 Riverside Dr
North Hollywood, CA 91602-2210
Phone (818) 698-3979

1225 NE 2ND Ave
Portland, OR 97232-2003
Phone (503) 944-8000

1321 NE 99TH Ave
Suite 200
Portland, OR 97220-9439
Phone (503) 215-4250

1500 Division St
Oregon City, OR 97045-1527
Phone (503) 557-2136

1509 Wilson Ter
Glendale, CA 91206-4007
Phone (818) 409-8000

1600 N Rose Ave
Oxnard, CA 93030-3722
Phone (805) 988-2500

18406 Roscoe Blvd
Suite a
Northridge, CA 91325-4107
Phone (818) 700-5678

2309 Antonio Ave
Camarillo, CA 93010-1414
Phone (805) 389-5800

Hospital & facility affiliations

  • La United Home Health Care, Inc. Home health agency, Canoga Park, CA, CCN 757462
  • Vitas Healthcare Corporation of California Hospice, Encino, CA, CCN 051656
  • Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116
  • St Johns Regional Medical Center Hospital, Oxnard, CA, CCN 050082
  • Providence Milwaukie Hospital Hospital, Milwaukie, OR, CCN 380082
  • Providence Willamette Falls Medical Center Hospital, Oregon City, OR, CCN 380038

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD224145ORMDInternal Medicine Physician
A124531CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon CurrentSince Nov 1, 2025 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Legacy Clinics LLC Internal Medicine CurrentSince Dec 3, 2025 Accepting new patients
Providence Health & Services - Oregon CurrentSince Nov 1, 2025 Accepting new patients
Dignity Health Medical Foundation Current Accepting new patients
Care First Health Clinic Inc Current Accepting new patients
Dignity Health Medical Foundation CurrentSince May 6, 2019 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Nov 1, 2025 Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients
Menalam Health Services PC CurrentSince Jun 1, 2023 Accepting new patients
Global Wound Care Medical Group CurrentSince Mar 31, 2025 Accepting new patients
Inpatient Specialists of California, PC Internal Medicine CurrentSince Mar 1, 2015 Accepting new patients
Menalam Health Services PC Hospitalist CurrentSince Jun 1, 2023 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Nov 1, 2025 Accepting new patients
Dignity Health Medical Foundation CurrentSince May 6, 2019 Accepting new patients
Well Health Medical Group Apc CurrentSince Aug 20, 2025 Accepting new patients

Locations

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

155 Glasson Way
Grass Valley, CA 95945
Phone (530) 274-6000

5901 W Century Blvd
Ste 750
Los Angeles, CA 90045
Phone (323) 843-2861

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

10908 Riverside Dr
North Hollywood, CA 91602
Phone (818) 698-3979

18460 Roscoe Blvd
Fl 2
Northridge, CA 91325
Phone (818) 885-5480

18406 Roscoe Blvd
Ste A
Northridge, CA 91325
Phone (818) 700-5678

18460 Roscoe Blvd
Fl 3
Northridge, CA 91325
Phone (818) 885-5480

1600 N Rose Ave
Oxnard, CA 93030
Phone (805) 988-2500

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

180 Promenade Cir
Ste 300
Sacramento, CA 95834
Phone (916) 352-6232

2975 Sycamore Dr
Simi Valley, CA 93065
Phone (805) 522-2500

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

8730 Glenoaks Blvd
Sun Valley, CA 91352
Phone (818) 394-9016

215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435

9290 SE Sunnybrook Blvd
Ste 210
Clackamas, OR 97015
Phone (503) 216-7960

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1225 NE 2nd Ave
Portland, OR 97232
Phone (503) 413-5051

1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250

10150 SE 32nd Ave
Portland, OR 97222
Phone (503) 215-4202

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1346569191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18460 ROSCOE BLVD FL 3",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254107",
            "telephone_number": "818-885-5480",
            "fax_number": "818-993-1917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 NE 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972322003",
            "country_code": "US",
            "telephone_number": "503-944-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10150 SE 32nd Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukie",
            "state": "OR",
            "postal_code": "972226516",
            "country_code": "US",
            "telephone_number": "503-513-8641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "LESLEY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-19",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD224145",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A124531",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.