Leo M Pisculli, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G7322 Issued in CA

Practice address

686 W Line St
Bishop, CA 93514-3315

Phone

(760) 872-4311

Fax

(760) 872-4130

NPI assigned

Nov 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1477628907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "686 W LINE ST",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935143315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "686 W LINE ST",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935143315",
            "telephone_number": "760-872-4311",
            "fax_number": "760-872-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISCULLI",
        "first_name": "LEO",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G7322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000G73220",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000G73220",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE FUND",
            "identifier": "0120424",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Perioperative Care of America PC
• Margaret Peterson
• Michael Frank Philip, OTRL
• Pioneer Home Health Care, Inc. (Hospice of the Owens Valley)
• Pioneer Home Health Care, Inc.
• Karen Planchon
• Devorah Plewinski, MS RD CDE
• Deborah Joan Poirier
• David Louis Pomeranz, M.D.
• Chrystina Ann Pope, PHD,ABD, LMFT

• Psychiatry Physician in Bishop, CA
• Providers in Bishop, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.