NPIMap

Individual provider Active NPI

Leon Keleshian

  • Diagnostic Ultrasound Physician
  • Los Angeles, CA
National Provider Identifier
1548355126
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
License
834952-18 Issued in CA
Practice address
4668 Hollywood Blvd.
Los Angeles, CA 90027-5408
Phone
(323) 663-2481
Fax
(323) 663-2481
NPI assigned
Oct 3, 2006
Last updated
Oct 12, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound Physician 2085U0001X 834952-18 CA Primary

Addresses

Primary practice location

4668 Hollywood Blvd.
Los Angeles, CA 90027-5408

Mailing address

4668 Hollywood Blvd.
Los Angeles, CA 90027-5408
Phone (323) 663-2481

Other identifiers 1

IdentifierTypeStateIssuer
DIAA00300MedicaidCA

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

State licenses

LicenseStateTypeSpecialty
834952-18CAMDDiagnostic Ultrasound Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Abrahamian Family Medical Center, Inc. Single Specialty Past Accepting new patients
Gardena Diagnostic, Inc. Past Accepting new patients
Zarine Ter-Poghosyan, M.D., Inc. Single Specialty PastSince Feb 4, 2008 Accepting new patients
Pilossyan Medical Center Inc Single Specialty PastSince Oct 5, 2007 Accepting new patients
Lpilossyan Single Specialty PastSince Aug 23, 2020 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9474/brand/2/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192147200000",
    "number": "1548355126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4668 HOLLYWOOD BLVD.",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275408",
            "telephone_number": "323-663-2481",
            "fax_number": "323-663-2481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4668 HOLLYWOOD BLVD.",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275408",
            "telephone_number": "323-663-2481",
            "fax_number": "323-663-2481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELESHIAN",
        "first_name": "LEON",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "CA",
            "license": "834952-18",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DIAA00300",
            "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 Oct 12, 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.