Active NPI
Leila Sheikholeslam, DO
- Family Medicine Physician
- Santa Monica, CA
National Provider Identifier
1386172419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A18455
- Practice address
- 2701 Ocean Park Blvd Ste 130
Santa Monica, CA 90405-5244 - Phone
- (310) 450-1200
- Fax
- (310) 450-8830
- NPI assigned
- Jun 2, 2017
- Last updated
- Mar 7, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A18455 | CA | Primary |
Addresses
Primary practice location
2701 Ocean Park Blvd Ste 130
Santa Monica, CA 90405-5244
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20A18455 | Other | CA | MEDICAL LICENSE |
Other names 1
- Dr. Leila Sheikh
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A18455 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| UCLA Medical Group | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1386172419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 OCEAN PARK BLVD STE 130",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904055244",
"telephone_number": "310-450-1200",
"fax_number": "310-450-8830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEIKHOLESLAM",
"first_name": "LEILA",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-02",
"last_updated": "2023-03-07",
"certification_date": "2020-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A18455",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "20A18455",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LEILA",
"last_name": "SHEIKH",
"prefix": "DR.",
"credential": "DO",
"code": "2",
"type": "Professional Name"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.