Leila Peterson, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LEILA PETERSON, PLLC

Practice address

2680 S Val Vista Dr Ste 140
Gilbert, AZ 85295-1621

Phone

(435) 757-8824

NPI assigned

Mar 26, 2020

Organization subpart

No

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

Authorized official

Name

Leila Peterson, MDNPI 1952535056

Title

Owner

Phone

(435) 757-8824

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leila King Peterson, M.D.

  • Family Medicine Physician
  • Gilbert, AZ
  • NPI 1952535056
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593043200000",
    "number": "1700413978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 S VAL VISTA DR STE 140",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 S VAL VISTA DR STE 140",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951621",
            "telephone_number": "435-757-8824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEILA PETERSON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "LEILA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-757-8824",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Legacy Healthcare LLC
• Sarah E Legrand, DPT
• Derick Lehman
• Tyler J. Leifson, CRNA
• Stacey Leija
• Amy Marie Leithoff
• Jenifer Leja, PHARMD
• Brian Leland, DMD
• Rachel Ann Leland
• Rachael Lembo, DNP, FNP

• Family Medicine Physician in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.