Individual provider Active NPI

Teodoro Ronaldo M Leonido-John, MD

  • Psychiatry Physician
  • Beverly Hills, CA
National Provider Identifier
1518026129
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A64246 Issued in CA
Practice address
462 N Linden Dr Ste 444
Beverly Hills, CA 90212-4902
Phone
(747) 271-3737
Fax
(310) 620-1691
NPI assigned
Dec 8, 2006
Last updated
Sep 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A64246 CA Primary

Addresses

Primary practice location

462 N Linden Dr Ste 444
Beverly Hills, CA 90212-4902

Mailing address

462 N Linden Dr Ste 444
Beverly Hills, CA 90212-4902
Phone (747) 271-3737

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

LicenseStateTypeSpecialty
A64246CAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1518026129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 N LINDEN DR STE 444",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124902",
            "telephone_number": "747-271-3737",
            "fax_number": "310-620-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 N LINDEN DR STE 444",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124902",
            "telephone_number": "747-271-3737",
            "fax_number": "310-620-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONIDO-JOHN",
        "first_name": "TEODORO RONALDO",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A64246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.