Active NPI
Leonard F Liss, M.D.
- Internal Medicine Physician
- Visalia, CA
National Provider Identifier
1699842914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G74715
- Practice address
- 3046 S Virmargo CT
Visalia, CA 93292-1796 - Phone
- (559) 754-2556
- Fax
- (559) 754-2556
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G74715 | CA | Primary |
| Internal Medicine Physician | 207R00000X | 25985 | WI |
Addresses
Primary practice location
3046 S Virmargo CT
Visalia, CA 93292-1796
Mailing address
3046 S Virmargo CT
Visalia, CA 93292-1796
Phone (559) 754-2556
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040217000592 | CA | Practitioner - Internal Medicine | 7618862897 | Practice locations: Visalia, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Wisconsin School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3046 S Virmargo CT
Visalia, CA 93292-1796
Phone (559) 754-2556
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25985 | WI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kings View | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Kings View Substance Abuse Program
- Community/Behavioral Health Agency
- Tulare, CA
- NPI 1679797575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701907200000",
"number": "1699842914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3046 S VIRMARGO CT",
"city": "VISALIA",
"state": "CA",
"postal_code": "932921796",
"telephone_number": "559-754-2556",
"fax_number": "559-754-2556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3046 S VIRMARGO CT",
"city": "VISALIA",
"state": "CA",
"postal_code": "932921796",
"telephone_number": "559-754-2556",
"fax_number": "559-754-2556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LISS",
"first_name": "LEONARD",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G74715",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "25985",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.