Individual provider Active NPI

Leonardo Asutilla Legaspi, N.P.

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1558620021
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21730 Issued in CA
Practice address
3710 East Cesar Chavez Avenue
Los Angeles, CA 90063-2219
Phone
(323) 980-7777
NPI assigned
May 3, 2012
Last updated
May 3, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21730 CA Primary

Addresses

Primary practice location

3710 East Cesar Chavez Avenue
Los Angeles, CA 90063-2219

Mailing address

1408 El Portal CT
Los Angeles, CA 90033-5204
Phone (323) 821-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151216001026 CA Practitioner - Nurse Practitioner 5294036265 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
21730CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group CurrentSince Mar 2, 2020 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Mar 2, 2020 Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

168 W Carson St
Carson, CA 90745
Phone (310) 233-3202

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

11525 Brookshire Ave
Ste 400
Downey, CA 90241
Phone (562) 869-1070

3628 E Imperial Hwy
Ste 202
Lynwood, CA 90262
Phone (310) 631-5000

601 Torrance Blvd
Redondo Beach, CA 90277
Phone (310) 316-0811

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

NPI Registry JSON

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336003200000",
    "number": "1558620021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 EL PORTAL CT",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900335204",
            "telephone_number": "323-821-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 EAST CESAR CHAVEZ AVENUE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900632219",
            "telephone_number": "323-980-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGASPI",
        "first_name": "LEONARDO",
        "middle_name": "ASUTILLA",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-03",
        "last_updated": "2012-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "21730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.