Active NPI
Leia Rispoli, M.D.
- Interventional Pain Medicine Physician
- Marina del Rey, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- A160496
- Practice address
- 4551 Glencoe Ave Ste 145
Marina del Rey, CA 90292-6385 - Phone
- (310) 405-0595
- Fax
- (310) 997-2766
- NPI assigned
- Apr 19, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | A160496 | CA | |
| Interventional Pain Medicine Physician | 208VP0014X | A160496 | CA | Primary |
Addresses
Primary practice location
4551 Glencoe Ave Ste 145
Marina del Rey, CA 90292-6385
Mailing address
PO Box 3129
Torrance, CA 90510-3129
Phone (310) 792-3914
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Rutgers New Jersey Medical School, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ability Health Services, IncAbility Health Services and Rehabilitation LP
Practice addresses (Care Compare)
1200 Lexington Green LN
Sanford, FL 32771-1013
4551 Glencoe Ave
Suite 145
Marina del Rey, CA 90292-6385
Phone (310) 405-0595
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A160496 | CA | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leia Rispoli MD, Inc. | Single Specialty | Current | Accepting new patients |
| Integrative Sports and Spine Inc | Single Specialty | Current | Accepting new patients |
Locations
9080 Irvine Center Dr
Irvine, CA 92618
Phone (949) 540-5641
13160 Mindanao Way
Ste 300
Marina del Rey, CA 90292
Phone (310) 574-0400
4551 Glencoe Ave
Ste 145
Marina del Rey, CA 90292
Phone (310) 426-8206
1601 Dove St
Ste 275
Newport Beach, CA 92660
Phone (310) 853-6390
3501 Jamboree Rd
Ste 1200
Newport Beach, CA 92660
Phone (949) 988-7800
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Marina del Rey, CA
- NPI 1164183331
Single Specialty
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Irvine, CA
- NPI 1245630557
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686268800000",
"number": "1679993406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3129",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905103129",
"telephone_number": "310-792-3914",
"fax_number": "855-898-4055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4551 GLENCOE AVE STE 145",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902926385",
"telephone_number": "310-405-0595",
"fax_number": "310-997-2766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RISPOLI",
"first_name": "LEIA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-19",
"last_updated": "2023-06-09",
"certification_date": "2023-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "CA",
"license": "A160496",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "CA",
"license": "A160496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marina del Rey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.