Individual provider Active NPI

Marile Garcia Leiva, NP

  • Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1568929982
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95011158 Issued in CA
Practice address
808 W 58TH St
Los Angeles, CA 90037-3632
Phone
(323) 541-1600
NPI assigned
Feb 21, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95011158 CA Primary

Addresses

Primary practice location

808 W 58TH St
Los Angeles, CA 90037-3632

Mailing address

223 Jasmine Ave
Monrovia, CA 91016-2918
Phone (213) 393-1945

Other practice location 1

223 Jasmine Ave
Monrovia, CA 91016-2918
Phone (213) 393-1945

Other practice location 2

801 S Chevy Chase Dr Ste 103
Glendale, CA 91205-4437
Phone (818) 246-2456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210830002879 CA Practitioner - Nurse Practitioner 3577969567 Reassigns benefits to 3 organizations
I20251224001848 NV Practitioner - Nurse Practitioner 3577969567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. John'S Community HealthGroup PAC ID 2961482690, 151 clinicians

Practice addresses (Care Compare)

15301 S San Jose Ave
Compton, CA 90221-3131
Phone (562) 630-6825

1910 Magnolia Ave
Suite 101
Los Angeles, CA 90007-1220
Phone (213) 749-0947

2115 N Wilmington Ave
Compton, CA 90222-2030
Phone (310) 603-1332

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Garcia Leiva Nursing Practitioner Health Corporation Current Accepting new patients
St. Johns Community Health CurrentSince Jul 6, 2021 Accepting new patients
St. Johns Community Health Current Accepting new patients
Garcia Leiva Medical Clinic PLLC CurrentSince Oct 9, 2025 Accepting new patients
St. Johns Community Health CurrentSince Jul 6, 2021 Accepting new patients
St. Johns Community Health Past Accepting new patients

Locations

4314 W Victory Blvd
Burbank, CA 91505
Phone (818) 843-6611

2115 N Wilmington Ave
Compton, CA 90222
Phone (310) 603-1332

3430 E Flamingo Rd
Ste 239
Las Vegas, NV 89121
Phone (818) 246-2456

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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": "1550707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1568929982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 JASMINE AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910162918",
            "telephone_number": "213-393-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 W 58TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900373632",
            "telephone_number": "323-541-1600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "223 Jasmine Ave",
            "address_purpose": "LOCATION",
            "city": "Monrovia",
            "state": "CA",
            "postal_code": "910162918",
            "country_code": "US",
            "telephone_number": "213-393-1945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 S Chevy Chase Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912054437",
            "country_code": "US",
            "telephone_number": "818-246-2456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA LEIVA",
        "first_name": "MARILE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-21",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95011158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.