Active NPI
Johnathon David Leih, MS, ATC
- Athletic Trainer
- San Diego, CA
National Provider Identifier
1568990067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2000027269
- Practice address
- 5998 Alcala Park
San Diego, CA 92110-2492 - Phone
- (619) 260-2308
- NPI assigned
- May 27, 2017
- Last updated
- Jun 12, 2023
- 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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2000027269 | CA | MD | Athletic 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.