Active NPI
Leonardo Asutilla Legaspi, N.P.
- Family Nurse Practitioner
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 21730
- 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, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21730 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current | 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.
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- NPI 1659312593
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dba Optum
- Durable Medical Equipment & Medical Supplies
- Murrieta, CA
- NPI 1760057269
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.