NPIMap

Individual provider Active NPI

Leroy B. Pascal, M.D.

  • Emergency Medicine Physician
  • Victorville, CA
National Provider Identifier
1407804750
Registry record updated Feb 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G76597 Issued in CA
Practice address
15248 11TH St
Emergency Department
Victorville, CA 92395-3704
Phone
(760) 245-8691
Fax
(760) 843-6020
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G76597 CA Primary

Addresses

Primary practice location

15248 11TH St
Emergency Department
Victorville, CA 92395-3704

Mailing address

11722 Wilmington Ave
Los Angeles, CA 90059-2543
Phone (323) 249-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031210001042 CA Practitioner - Emergency Medicine 5991601866 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Loma Linda University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ignite Emergency Physicians a Medical CorporationGroup PAC ID 2365988326, 46 clinicians

Practice addresses (Care Compare)

16850 Bear Valley Rd
Victorville, CA 92395-5794
Phone (760) 241-8000

Hospital & facility affiliations

  • Desert Valley Hospital Hospital, Victorville, CA, CCN 050709
  • Montclair Hospital Medical Center Hospital, Montclair, CA, CCN 050758
  • Chino Valley Medical Center Hospital, Chino, CA, CCN 050586

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Gem Medical Group Corporation Emergency Medicine CurrentSince May 28, 2023 Accepting new patients
Gem Medical Group Corporation Emergency Medicine CurrentSince May 28, 2023 Accepting new patients
Desert Valley Medical Group, Inc. Emergency Medicine CurrentSince Jan 4, 2010 Accepting new patients
Golden West Emergency Medical Associates, Inc Emergency Medicine CurrentSince Aug 7, 2022 Accepting new patients
Southland Emergency Medical Associates Inc Emergency Medicine CurrentSince Sep 1, 2022 Accepting new patients
Ignite Emergency Physicians a Medical Corporation CurrentSince Jul 1, 2024 Accepting new patients
East Valley Emergency Medical Associates, Inc Emergency Medicine CurrentSince Aug 1, 2022 Accepting new patients
Desert Valley Medical Group, Inc CurrentSince Jan 4, 2010 Accepting new patients
Desert Valley Medical Group, Inc. Current Accepting new patients
Downey Radiology Associates Past Accepting new patients
Charles Drew University Multi-Specialty Group Inc Emergency Medicine Past Accepting new patients

Locations

1111 W La Palma Ave
Anaheim, CA 92801
Phone (714) 774-1450

5451 Walnut Ave
Chino, CA 91710
Phone (909) 464-8600

5000 San Bernardino St
Montclair, CA 91763
Phone (909) 625-4111

900 S Atlantic Blvd
Monterey Park, CA 91754
Phone (626) 457-7450

525 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 573-2222

1801 W Olympic Blvd
#2611
Pasadena, CA 91199

16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222

9080 Colima Rd
Whittier, CA 90605
Phone (562) 907-1565

Organizations & group practices 11

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235347200000",
    "number": "1407804750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11722 WILMINGTON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900592543",
            "telephone_number": "323-249-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15248 11TH ST",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953704",
            "telephone_number": "760-245-8691",
            "fax_number": "760-843-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCAL",
        "first_name": "LEROY",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2009-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G76597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

Verify at the official NPI Registry.