Individual provider Active NPI

Leslye Vanessa Canas, P.A.-C

  • Medical Physician Assistant
  • Palm Beach Gardens, FL
National Provider Identifier
1447597620
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9102733 Issued in FL
Practice address
1316 Sonoma CT
Palm Beach Gardens, FL 33410-1517
Phone
(773) 505-4473
Fax
(561) 622-3375
NPI assigned
Jan 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9102733 FL Primary

Addresses

Primary practice location

1316 Sonoma CT
Palm Beach Gardens, FL 33410-1517

Mailing address

1316 Sonoma CT
Palm Beach Gardens, FL 33410-1517
Phone (773) 505-4473

Other names 1

  • Leslye Canas-Deolazabal 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
PA9102733FLMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357603200000",
    "number": "1447597620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 SONOMA CT",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334101517",
            "telephone_number": "773-505-4473",
            "fax_number": "561-622-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 SONOMA CT",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334101517",
            "telephone_number": "773-505-4473",
            "fax_number": "561-622-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANAS",
        "first_name": "LESLYE",
        "middle_name": "VANESSA",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-08",
        "last_updated": "2013-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9102733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLYE",
            "last_name": "CANAS-DEOLAZABAL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.