Judith Whitney Leonard, PNP, BC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

374842 Issued in CA

Practice address

23321 El Toro Rd
Suites F & G
Lake Forest, CA 92630-4825

Phone

(949) 770-0513

Fax

(949) 770-2941

NPI assigned

Aug 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Pediatric Subspecialty Faculty, Inc.

  • Pediatrics Physician
  • Orange, CA
  • NPI 1790850279
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227052800000",
    "number": "1639186067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23321 EL TORO RD",
            "address_2": "SUITES F & G",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926304825",
            "telephone_number": "949-770-0513",
            "fax_number": "949-770-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23321 EL TORO RD",
            "address_2": "SUITES F & G",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926304825",
            "telephone_number": "949-770-0513",
            "fax_number": "949-770-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "JUDITH",
        "middle_name": "WHITNEY",
        "name_prefix": "Mrs.",
        "credential": "PNP, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "374842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ8391Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jay Pun Lee, PA-C
• Jieun Lee
• Kimberly Lee
• Sungeun Lee
• Lemedix Socal Lab
• Johnne Leoncio, NP-C
• Brittany Leong, PTA
• LFQ Senior Care, Inc.
• Carol Jan Lian, L.AC
• Sam Shien-Chien Liang, L.AC., PH.D

• Pediatric Nurse Practitioner in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.