Active NPI
John Thomas Leppert, M.D.
- Urology Physician
- Los Angeles, CA
National Provider Identifier
1407978497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- A83607
- Practice address
- 1253 Granville Ave
Unit #5
Los Angeles, CA 90025-1693 - Phone
- (310) 231-0050
- NPI assigned
- Apr 3, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | A83607 | CA | Primary |
Addresses
Primary practice location
1253 Granville Ave
Unit #5
Los Angeles, CA 90025-1693
Mailing address
1253 Granville Ave
Unit #5
Los Angeles, CA 90025-1693
Phone (310) 231-0050
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130823000188 | CA | Order and Referring Only - Urology | 5597852673 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A83607 | CA | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274400000000",
"number": "1407978497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1253 GRANVILLE AVE",
"address_2": "UNIT #5",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900251693",
"telephone_number": "310-231-0050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1253 GRANVILLE AVE",
"address_2": "UNIT #5",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900251693",
"telephone_number": "310-231-0050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEPPERT",
"first_name": "JOHN",
"middle_name": "THOMAS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-03",
"last_updated": "2010-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "A83607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2010; 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.