Michael David Legmann, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

A94915 Issued in CA

Practice address

15107 Vanowen Street
Pathology Department
Van Nuys, CA 91405

Phone

(818) 902-2961

Fax

(818) 902-3903

NPI assigned

Jul 25, 2006

Sex

Male

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pathology

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marvel Path PCGroup PAC ID 5597177485, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Valley Presbyterian Hospital Hospital, Van Nuys, CA, CCN 050126

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Marvel Path PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Van Nuys, CA
  • NPI 1861096430
  Medicare reassignment Care Compare group NPD Authorized official
• Path MD Inc

  • Clinical Medical Laboratory
  • Duarte, CA
  • NPI 1124316138
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Valley Presbyterian Hospital

  • General Acute Care Hospital
  • Van Nuys, CA
  • NPI 1578529285
  Care Compare affiliation

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1639191737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 260023",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631268023",
            "telephone_number": "314-849-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15107 VANOWEN STREET",
            "address_2": "PATHOLOGY DEPARTMENT",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "91405",
            "telephone_number": "818-902-2961",
            "fax_number": "818-902-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGMANN",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2021-09-14",
        "certification_date": "2021-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A94915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A949150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tai Kwong Lee, M.D.
• Yoo Bin Lee
• Legacy Home Health Care LLC
• Legacy Hospice Inc.
• Edwin Kenneth Legarreta
• Adrienne M. Leguizamo
• Corrine Marie Leikam, PSY.D.
• Jossary Michelle Leiva
• Lekar Home Health Care Inc
• Apostolos Anthony Lekkos, DO

• Anatomic Pathology & Clinical Pathology Physician in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.