Individual provider Active NPI

Leslie Carina Galeano, DA

  • Dental Assistant
  • Compton, CA
National Provider Identifier
1396076899
Registry record updated Jan 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AssistantTaxonomy code 126800000X
License
4481032 Issued in CA
Practice address
124 N Willow Ave
Compton, CA 90221
Phone
(562) 618-8879
NPI assigned
Jan 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Assistant 126800000X 4481032 CA Primary

Addresses

Primary practice location

124 N Willow Ave
Compton, CA 90221

Mailing address

124 N Willow Ave
Compton, CA 90221
Phone (562) 618-8879

Other identifiers 1

IdentifierTypeStateIssuer
4481032OtherCACALIFORNIA DENTAL BOARD

Other names 1

  • Leslie Carina Galeano Other name

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

State licenses

LicenseStateTypeSpecialty
4481032CAMDDental Assistant

NPI Registry JSON

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264118400000",
    "number": "1396076899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 N WILLOW AVE",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "90221",
            "telephone_number": "562-618-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N WILLOW AVE",
            "city": "COMPTON",
            "state": "CA",
            "postal_code": "90221",
            "telephone_number": "562-618-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALEANO",
        "first_name": "LESLIE",
        "middle_name": "CARINA",
        "credential": "DA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-22",
        "last_updated": "2010-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "CA",
            "license": "4481032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA DENTAL BOARD",
            "identifier": "4481032",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "GALEANO",
            "middle_name": "CARINA",
            "credential": "DA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Compton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; 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.