Active NPI
Conrad Leonik, MD, MPH
- Internal Medicine Physician
- San Francisco, CA
National Provider Identifier
1356194286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- PTL16062
- Practice address
- 450 Stanyan St
San Francisco, CA 94117-1019 - Phone
- (415) 750-5942
- Fax
- (415) 750-5594
- NPI assigned
- Apr 10, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | PTL16062 | CA | Primary |
Addresses
Primary practice location
450 Stanyan St
San Francisco, CA 94117-1019
Mailing address
450 Stanyan St
San Francisco, CA 94117-1019
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTL16062 | CA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731456000000",
"number": "1356194286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 STANYAN ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941171019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 STANYAN ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941171019",
"telephone_number": "415-750-5942",
"fax_number": "415-750-5594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONIK",
"first_name": "CONRAD",
"credential": "MD, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-04-10",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "PTL16062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.