Organization Active NPI

Leslie K Meserve MD Inc

  • Internal Medicine Physician
  • Newport Beach, CA
National Provider Identifier
1699212597
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A82436 Issued in CA
Legal business name
LESLIE K MESERVE MD INC
Practice address
400 Newport Center Dr Ste 310
Newport Beach, CA 92660-7636
Phone
(949) 558-0501
Fax
(949) 558-0502
NPI assigned
Jan 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Authorized official

Name
Dr. Leslie K Meserve, M.D.
Title
Owner
Phone
(949) 558-0501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A82436 CA Primary

Addresses

Primary practice location

400 Newport Center Dr Ste 310
Newport Beach, CA 92660-7636

Mailing address

400 Newport Center Dr Ste 310
Newport Beach, CA 92660-7636
Phone (949) 558-0501

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1699212597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 NEWPORT CENTER DR STE 310",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607636",
            "telephone_number": "949-558-0501",
            "fax_number": "949-558-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NEWPORT CENTER DR STE 310",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607636",
            "telephone_number": "949-558-0501",
            "fax_number": "949-558-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE K MESERVE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-30",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "MESERVE",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-558-0501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A82436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.