Leandra Christine Corpuz, MEDICAL ASSISTANT

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

350 E Gobbi St Ste B
Ukiah, CA 95482-5511

Phone

(707) 472-0350

Fax

(707) 472-0358

NPI assigned

Oct 5, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1507161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1699285544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1449",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954821449",
            "telephone_number": "707-472-0350",
            "fax_number": "707-472-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E GOBBI ST STE B",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825511",
            "telephone_number": "707-472-0350",
            "fax_number": "707-472-0358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "516 Cypress St",
            "address_purpose": "LOCATION",
            "city": "Fort Bragg",
            "state": "CA",
            "postal_code": "954375410",
            "country_code": "US",
            "telephone_number": "707-961-6208",
            "fax_number": "707-200-6682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORPUZ",
        "first_name": "LEANDRA",
        "middle_name": "CHRISTINE",
        "credential": "MEDICAL ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-05",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Coolahan, MD
• Andrew Irvine Corbett, DDS
• Vincent J Corcoran, DC
• Howard Andrew Coren, M.D.
• Mariena Renee Cornett-Steward
• Perla Corral Lopez
• Pablo Garza Cortina, M.D.
• Michael Rudolph Cosenza, DPM
• Rileigh Cosman de Los Santos
• Meghan Nicole Cosman

• Community Health Worker in Ukiah, CA
• Providers in Ukiah, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.