Leif M Hertzog, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G52761 Issued in CA

Practice address

5094 E Los Coyotes Diagonal
Long Beach, CA 90815-2839

Phone

(562) 597-3100

Fax

(562) 597-5055

NPI assigned

Nov 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

92.88 of 100Reported as group

Quality

100

Improvement activities

40

Cost

76.27

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hertzog Eye Associates a Medical Corporation

  • Ophthalmology Physician
  • Long Beach, CA
  • NPI 1619165446
  Medicare reassignment NPD Authorized official
• Hertzog Optical, LLC

  • Ophthalmology Physician
  • Long Beach, CA
  • NPI 1104975374
  NPD Authorized official

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1528139367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5094 E LOS COYOTES DIAGONAL",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908152839",
            "telephone_number": "562-595-4366",
            "fax_number": "562-595-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5094 E LOS COYOTES DIAGONAL",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908152839",
            "telephone_number": "562-597-3100",
            "fax_number": "562-597-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERTZOG",
        "first_name": "LEIF",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G52761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melvin Herst, M.A.
• Hertzog Eye Associates a Medical Corporation
• Hertzog Optical, LLC
• Hans Dieter Hertzog, M.D.
• Lars H Hertzog, M.D., F.A.C.S.
• Cynthia Herzog, M.D.
• Margot Hesel, FNP
• Judith A. Hess, PHN
• Irma Heulett
• Socrates Heureaux, PSY.D.

• Ophthalmology Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.