Individual provider Active NPI

Sean Leoni, M.D.

  • Internal Medicine Physician
  • Calabasas, CA
National Provider Identifier
1669544052
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A53547 Issued in CA
Practice address
26500 Agoura Rd
Suite 102-581
Calabasas, CA 91302-1952
Phone
(888) 254-6600
Fax
(818) 788-8343
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A53547 CA Primary

Addresses

Primary practice location

26500 Agoura Rd
Suite 102-581
Calabasas, CA 91302-1952

Mailing address

16661 Ventura Blvd
Suite 604
Encino, CA 91436-1914
Phone (888) 254-6600

Other identifiers 1

IdentifierTypeStateIssuer
A53547OtherCASTATE LICENSE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050512000566 CA Practitioner - Internal MedicinePractitioner - Pain Management 8224078019 Practice locations: Downey, CA; Encino, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pain Management
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11525 Brookshire Ave
Suite 205
Downey, CA 90241-4982
Phone (888) 254-6600

16661 Ventura Blvd
Suite 604
Encino, CA 91436-1980
Phone (818) 788-8213

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A53547CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Suncrest Health Care Inc PastSince Nov 1, 2015 Accepting new patients
Oxnard Valley Medical Group, Inc Internal Medicine Past Accepting new patients

Organizations & group practices 2

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1669544052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16661 VENTURA BLVD",
            "address_2": "SUITE 604",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361914",
            "telephone_number": "888-254-6600",
            "fax_number": "818-788-8343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26500 AGOURA RD",
            "address_2": "SUITE 102-581",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021952",
            "telephone_number": "888-254-6600",
            "fax_number": "818-788-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONI",
        "first_name": "SEAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A53547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A53547",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Calabasas, CA

Sources for this page

Verify at the official NPI Registry.