Individual provider Active NPI

Jonathan A Leff, M.D.

  • Research Study Specialist
  • Menlo Park, CA
National Provider Identifier
1538407721
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Research Study SpecialistTaxonomy code 1744R1102X
License
G86872 Issued in CA
Practice address
178 Seminary Dr
Menlo Park, CA 94025-3569
Phone
(650) 521-0353
NPI assigned
Jan 22, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Research Study Specialist 1744R1102X G86872 CA Primary

Addresses

Primary practice location

178 Seminary Dr
Menlo Park, CA 94025-3569

Mailing address

178 Seminary Dr
Menlo Park, CA 94025-3569
Phone (650) 521-0353

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G86872CAMDResearch Study Specialist

NPI Registry JSON

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1538407721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 SEMINARY DR",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940253569",
            "telephone_number": "650-521-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 SEMINARY DR",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940253569",
            "telephone_number": "650-521-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFF",
        "first_name": "JONATHAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-22",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744R1102X",
            "taxonomy_group": "",
            "desc": "Specialist, Research Study",
            "state": "CA",
            "license": "G86872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.