Individual provider Active NPI

Leslie Taylan Barahona, FNP- BC

  • Family Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1508574658
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95023276 Issued in CA
Practice address
1700 California St Ste 570
San Francisco, CA 94109-4591
Phone
(415) 673-9199
Fax
(415) 673-8796
NPI assigned
Nov 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95023276 CA Primary

Addresses

Primary practice location

1700 California St Ste 570
San Francisco, CA 94109-4591

Mailing address

1625 Kensington Park Dr
Modesto, CA 95356-9363
Phone (808) 386-8947

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
95023276CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1508574658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 KENSINGTON PARK DR",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569363",
            "telephone_number": "808-386-8947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 CALIFORNIA ST STE 570",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094591",
            "telephone_number": "415-673-9199",
            "fax_number": "415-673-8796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARAHONA",
        "first_name": "LESLIE",
        "middle_name": "TAYLAN",
        "name_prefix": "Mrs.",
        "credential": "FNP- BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-08",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95023276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.