Phyllis Leija, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-308030 Issued in CA

Practice address

8200 S Quebec St # A3123
Centennial, CO 80112-4411

Phone

(619) 327-9354

NPI assigned

Jan 15, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Phyllis G Leija Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1386455772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3517 BRODY WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920563586",
            "telephone_number": "760-626-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 S QUEBEC ST # A3123",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801124411",
            "telephone_number": "619-327-9354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIJA",
        "first_name": "PHYLLIS",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": "CA",
            "license": "L-308030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHYLLIS",
            "last_name": "LEIJA",
            "middle_name": "G",
            "credential": "IBCLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Song Lee
• Torrance Lee
• Derrick Lynn Leeper, PT, DPT
• Lesley Lefevre, PSY.D
• Bruce Douglas Leibbrandt, CMT
• Lori Lemieux
• Jessica Lensink
• Renee Lenth
• Gregory James Lenz, PA
• Yazmine Leon

• Lactation Consultant (Non-RN) in Centennial, CO
• Providers in Centennial, CO by specialty
• Lactation Consultant (Non-RN) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.

Verify at the official NPI Registry.