Active NPI
Eva Pei-Srbich Leonard, M.D.
- Internal Medicine Physician
- La Mesa, CA
National Provider Identifier
1386602746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G39845
- Practice address
- 5525 Grossmont Center Dr
Suite 200
La Mesa, CA 91942-3009 - Phone
- (619) 644-6500
- Fax
- (619) 644-6539
- NPI assigned
- May 3, 2006
- Sex
- Female
- 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 | G39845 | CA | Primary |
Addresses
Primary practice location
5525 Grossmont Center Dr
Suite 200
La Mesa, CA 91942-3009
Mailing address
5525 Grossmont Center Dr
Suite 200
La Mesa, CA 91942-3009
Phone (619) 644-6500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G39845 | Other | CA | STATE LICENSE # |
| 330885096 | Other | CA | OFFICE IRS # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39845 | CA | MD | Prosthodontist |
| G39845 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharp Rees-Stealy Medical Group, Inc | Current | Accepting new patients | |
| Sharp Rees-Stealy Medical Group, Inc | Internal Medicine | Current | Accepting new patients |
Locations
5525 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 644-6600
5525 Grossmont Center Dr
Ste 200
La Mesa, CA 91942
Phone (619) 644-6500
2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1285616177
-
- Optometrist
- San Diego, CA
- NPI 1063172351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1386602746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5525 GROSSMONT CENTER DR",
"address_2": "SUITE 200",
"city": "LA MESA",
"state": "CA",
"postal_code": "919423009",
"telephone_number": "619-644-6500",
"fax_number": "619-644-6539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5525 GROSSMONT CENTER DR",
"address_2": "SUITE 200",
"city": "LA MESA",
"state": "CA",
"postal_code": "919423009",
"telephone_number": "619-644-6500",
"fax_number": "619-644-6539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONARD",
"first_name": "EVA",
"middle_name": "PEI-SRBICH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-03",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G39845",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE #",
"identifier": "G39845",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OFFICE IRS #",
"identifier": "330885096",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Mesa, CA
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.