Active NPI
Jody Cimbalo Leng, M.D.
- Anesthesiology Physician
- Stanford, CA
National Provider Identifier
1467612663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A109173
- Practice address
- 300 Pasteur Dr
H3580, Anesthesia
Stanford, CA 94305-2200 - Phone
- (650) 324-2974
- NPI assigned
- Jun 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | TRN12501 | FL | |
| Anesthesiology Physician | 207L00000X | A109173 | CA | Primary |
Addresses
Primary practice location
300 Pasteur Dr
H3580, Anesthesia
Stanford, CA 94305-2200
Mailing address
300 Pasteur Dr
H3580, Anesthesia
Stanford, CA 94305-2200
Phone (650) 324-2974
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A109173 | CA | MD | Anesthesiology Physician |
| TRN12501 | FL | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362528000000",
"number": "1467612663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"address_2": "H3580, ANESTHESIA",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-324-2974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"address_2": "H3580, ANESTHESIA",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-324-2974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENG",
"first_name": "JODY",
"middle_name": "CIMBALO",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-11",
"last_updated": "2013-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "TRN12501",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A109173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stanford, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.