Active NPI
Richard G Leff, MD
- Urology Physician
- Tarzana, CA
National Provider Identifier
1568487536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- G29796
- Practice address
- 18370 Burbank Blvd
Ste 407
Tarzana, CA 91356-2804 - Phone
- (818) 996-4242
- Fax
- (818) 996-4352
- NPI assigned
- Jul 12, 2006
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | G29796 | CA | Primary |
Addresses
Primary practice location
18370 Burbank Blvd
Ste 407
Tarzana, CA 91356-2804
Mailing address
18370 Burbank Blvd
Ste 407
Tarzana, CA 91356-2804
Phone (818) 996-4242
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G297960 | Medicaid | CA | |
| 340004414 | Other | CA | RAILROAD MEDICARE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| G29796 | CA | MD | Urology Physician |
Interoperability endpoints
- richardleff@sfvua.medalliesdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259107200000",
"number": "1568487536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18370 BURBANK BLVD",
"address_2": "STE 407",
"city": "TARZANA",
"state": "CA",
"postal_code": "913562804",
"telephone_number": "818-996-4242",
"fax_number": "818-996-4352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18370 BURBANK BLVD",
"address_2": "STE 407",
"city": "TARZANA",
"state": "CA",
"postal_code": "913562804",
"telephone_number": "818-996-4242",
"fax_number": "818-996-4352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEFF",
"first_name": "RICHARD",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2009-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "G29796",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G297960",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "340004414",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.