Individual provider Active NPI

Leila Mariam Yoonessi, M.D.

  • Pediatrics Physician
  • Long Beach, CA
National Provider Identifier
1578873428
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A114034 Issued in CA
Practice address
720 Alamitos Ave
Long Beach, CA 90813-4726
Phone
(562) 489-7405
Fax
(562) 489-7406
NPI assigned
Oct 13, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Pulmonology Physician 2080P0214X A114034 CA
Pediatrics Physician 208000000X A114034 CA Primary

Addresses

Primary practice location

720 Alamitos Ave
Long Beach, CA 90813-4726

Mailing address

26572 Academy Dr
Palos Verdes Estates, CA 90274-3968
Phone (310) 729-3433

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A114034CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
My Pediatrics and Respiratory Care Clinic Pediatrics Current Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
St. Mary Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients
Lac-Usc Medical Center Past Accepting new patients
St Mary Medical Center Pediatrics Past Accepting new patients

Locations

720 Alamitos Ave
Long Beach, CA 90813
Phone (562) 218-6200

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: leila.yoonessi.1@25734.direct.athenahealth.com

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": "1286928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1578873428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26572 ACADEMY DR",
            "city": "PALOS VERDES ESTATES",
            "state": "CA",
            "postal_code": "902743968",
            "telephone_number": "310-729-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 ALAMITOS AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908134726",
            "telephone_number": "562-489-7405",
            "fax_number": "562-489-7406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOONESSI",
        "first_name": "LEILA",
        "middle_name": "MARIAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-13",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "CA",
            "license": "A114034",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A114034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.