Individual provider Active NPI

Gary Leifer, MD

  • Urology Physician
  • Rancho Mirage, CA
National Provider Identifier
1376651265
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
G88841 Issued in CA
Practice address
72057 Highway 111
Rancho Mirage, CA 92270-4927
Phone
(760) 346-7191
Fax
(760) 346-7905
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 0418998 KS
Urology Physician 208800000X R3C49 MO
Urology Physician 208800000X G88841 CA Primary

Addresses

Primary practice location

72057 Highway 111
Rancho Mirage, CA 92270-4927

Mailing address

72057 Highway 111
Rancho Mirage, CA 92270-4927
Phone (760) 346-7191

Other identifiers 2

IdentifierTypeStateIssuer
340016726OtherRAILROAD MEDICARE
10775061OtherBCBS

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G88841CAMDUrology Physician
0418998KSMDUrology Physician
R3C49MOMDUrology Physician

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1376651265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72057 HIGHWAY 111",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704927",
            "telephone_number": "760-346-7191",
            "fax_number": "760-346-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72057 HIGHWAY 111",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704927",
            "telephone_number": "760-346-7191",
            "fax_number": "760-346-7905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIFER",
        "first_name": "GARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "KS",
            "license": "0418998",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MO",
            "license": "R3C49",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "G88841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "340016726",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "10775061",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.