Individual provider Active NPI

Leilani M. Sharpe, M.D., PH.D.

  • Psychiatry Physician
  • San Pedro, CA
National Provider Identifier
1649697764
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A141324 Issued in CA
Practice address
222 W 6TH St Ste 400
San Pedro, CA 90731
Phone
(310) 707-2500
Fax
(310) 707-2501
NPI assigned
Mar 26, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 35.132759 OH
Psychiatry Physician 2084P0800X A141324 CA Primary

Addresses

Primary practice location

222 W 6TH St Ste 400
San Pedro, CA 90731

Mailing address

222 W 6TH St Ste 400
San Pedro, CA 90731-3345
Phone (310) 707-2500

Other practice location 1

3333 Burnet Avenue
MLC 6015
Cincinnati, OH 45224-3114
Phone (513) 636-8998 ext. 11090

Other practice location 2

760 Westwood Plz
Los Angeles, CA 90024-5055
Phone (310) 825-0548

Other practice location 3

1580 1st St
Napa, CA 94559-2841
Phone (707) 258-8757

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Phone

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
A141324CAMDPsychiatry Physician
35.132759OHMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Department of State Hospitals Current Accepting new patients
Pih Health Physicians CurrentSince Dec 1, 2020 Accepting new patients
Department of State Hospitals CurrentSince Feb 1, 2022 Accepting new patients
Pih Health Physicians CurrentSince Dec 1, 2020 Accepting new patients
Department of State Hospitals CurrentSince Feb 1, 2022 Accepting new patients
Pih Health Physicians Current Accepting new patients

Locations

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

11401 Bloomfield Ave
Norwalk, CA 90650
Phone (562) 863-7011

1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805

Organizations & group practices 6

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": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1649697764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W 6TH ST STE 400",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313345",
            "telephone_number": "310-707-2500",
            "fax_number": "310-707-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W 6TH ST STE 400",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "90731",
            "telephone_number": "310-707-2500",
            "fax_number": "310-707-2501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 Burnet Avenue",
            "address_2": "MLC 6015",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452243114",
            "country_code": "US",
            "telephone_number": "513-636-8998 x11090",
            "fax_number": "513-803-0571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "760 Westwood Plz",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900245055",
            "country_code": "US",
            "telephone_number": "310-825-0548",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1580 1st St",
            "address_purpose": "LOCATION",
            "city": "Napa",
            "state": "CA",
            "postal_code": "945592841",
            "country_code": "US",
            "telephone_number": "707-258-8757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARPE",
        "first_name": "LEILANI",
        "middle_name": "M.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-26",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OH",
            "license": "35.132759",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A141324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Phone",
            "affiliation": "N",
            "address_1": "222 W 6th St Ste 400",
            "city": "San Pedro",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907313345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Pedro, CA

Sources for this page

Verify at the official NPI Registry.