Active NPI
Leland R Raymond, MD
- Surgery Physician
- Napa, CA
National Provider Identifier
1699805598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- G9919
- Practice address
- 3417 Valle Verde
Napa, CA 94558-6417 - Phone
- (707) 251-3552
- Fax
- (707) 252-1087
- NPI assigned
- Mar 7, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | G9919 | CA | Primary |
Addresses
Primary practice location
3417 Valle Verde
Napa, CA 94558-6417
Mailing address
3417 Valle Verde Dr
Napa, CA 94558-2414
Phone (707) 252-4955
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000G99190 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G9919 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leland R Raymond MD Apc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Vascular Surgery Physician
- Napa, CA
- NPI 1831368919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437696000000",
"number": "1699805598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3417 VALLE VERDE DR",
"city": "NAPA",
"state": "CA",
"postal_code": "945582414",
"telephone_number": "707-252-4955",
"fax_number": "707-252-0525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3417 VALLE VERDE",
"city": "NAPA",
"state": "CA",
"postal_code": "945586417",
"telephone_number": "707-251-3552",
"fax_number": "707-252-1087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYMOND",
"first_name": "LELAND",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-07",
"last_updated": "2015-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "G9919",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000G99190",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Napa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.