Individual provider Active NPI

Jean Louis Le Renard, MD

  • Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1548336555
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A24661 Issued in CA
Practice address
153 Granville Ave
Los Angeles, CA 90049-4224
Phone
(310) 472-6750
Fax
(310) 471-9433
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 A24661 CA Primary

Addresses

Primary practice location

153 Granville Ave
Los Angeles, CA 90049-4224

Mailing address

PO Box 49841
Los Angeles, CA 90049-0841
Phone (310) 472-6750

Other identifiers 1

IdentifierTypeStateIssuer
00A246610MedicaidCA

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
A24661CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jean-Louis Le Renard, M.D. Inc. Psychiatry PastSince Mar 25, 1981 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548336555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 49841",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900490841",
            "telephone_number": "310-472-6750",
            "fax_number": "310-471-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 GRANVILLE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900494224",
            "telephone_number": "310-472-6750",
            "fax_number": "310-471-9433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE RENARD",
        "first_name": "JEAN LOUIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A24661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A246610",
            "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 Jul 8, 2007; 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.