Individual provider Active NPI

Johnathon David Leih, MS, ATC

  • Athletic Trainer
  • San Diego, CA
National Provider Identifier
1568990067
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
2000027269 Issued in CA
Practice address
5998 Alcala Park
San Diego, CA 92110-2492
Phone
(619) 260-2308
NPI assigned
May 27, 2017
Last updated
Jun 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 2000027269 CA Primary

Addresses

Primary practice location

5998 Alcala Park
San Diego, CA 92110-2492

Mailing address

7911 Arlington Ave Apt 119
Riverside, CA 92503-0423

Other practice location 1

7911 Arlington Ave Apt 119
Riverside, CA 92503-0423
Phone (951) 306-8231

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2000027269CAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1495843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1568990067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7911 ARLINGTON AVE APT 119",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925030423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5998 ALCALA PARK",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921102492",
            "telephone_number": "619-260-2308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7911 Arlington Ave Apt 119",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925030423",
            "country_code": "US",
            "telephone_number": "951-306-8231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEIH",
        "first_name": "JOHNATHON",
        "middle_name": "DAVID",
        "credential": "MS, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-27",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "2000027269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.