Active NPI
Leonidas Voltaire Sison Mejia, M.D.
- General Practice Physician
- Los Angeles, CA
National Provider Identifier
1528170610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A80800
- Practice address
- 4075 Whittier Blvd
Los Angeles, CA 90023-2525 - Phone
- (323) 264-4924
- NPI assigned
- Aug 31, 2006
- Last updated
- Sep 10, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A80800 | CA | |
| General Practice Physician | 208D00000X | A80800 | CA | Primary |
Addresses
Primary practice location
4075 Whittier Blvd
Los Angeles, CA 90023-2525
Mailing address
13849 San Antonio Ave
Chino, CA 91710-7428
Phone (909) 591-9724
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WA80800D | Other | CA | MEDICARE |
| 00A808000 | Medicaid | CA |
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 |
|---|---|---|---|
| 80800 | CA | MD | Community Health Registered Nurse |
| A80800 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedars-Sinai Medical Center | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- leonidas.mejia.p1@direct.fhccgla.nextgenshare.com
- lmejia54318@direct.llu.edu
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Los Angeles, CA
- NPI 1942312715
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221004800000",
"number": "1528170610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13849 SAN ANTONIO AVE",
"city": "CHINO",
"state": "CA",
"postal_code": "917107428",
"telephone_number": "909-591-9724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4075 WHITTIER BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900232525",
"telephone_number": "323-264-4924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEJIA",
"first_name": "LEONIDAS VOLTAIRE",
"middle_name": "SISON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2008-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A80800",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A80800",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "WA80800D",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A808000",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.