Individual provider Active NPI

Eric John Leute, MD

  • Family Medicine Physician
  • Imperial Beach, CA
National Provider Identifier
1720171507
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A80832 Issued in CA
Practice address
949 Palm Avenue
Imperial Beach Health Center
Imperial Beach, CA 91932
Phone
(619) 429-3733
Fax
(619) 628-5550
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A80832 CA Primary

Addresses

Primary practice location

949 Palm Avenue
Imperial Beach Health Center
Imperial Beach, CA 91932

Mailing address

PO Box 459
PO
Imperial Beach, CA 91933-0459
Phone (619) 429-3733

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050106000820 CA Practitioner - Family Practice 7719935766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Wisconsin, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centro de Salud de la Comunidad de San Ysidro,Inc.Group PAC ID 6901709435, 291 clinicians

Practice addresses (Care Compare)

4004 Beyer Blvd
San Ysidro, CA 92173-2007
Phone (619) 428-4463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A80832CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Salud de la Comunidad de San Ysidro, Inc. Current Accepting new patients
Scripps Health Current Accepting new patients
Centro de Salud de la Comunidad de San Ysidro Inc CurrentSince Nov 1, 2022 Accepting new patients
Centro de Salud de la Comunidad de San Ysidro, Inc. CurrentSince Nov 1, 2022 Accepting new patients
Scripps Mercy Physicians Cardiology Medical Corporation Past Accepting new patients

Locations

865 Third Ave
Ste 133
Chula Vista, CA 91911
Phone (619) 205-1360

1637 Third Ave
Ste B
Chula Vista, CA 91911
Phone (619) 425-1780

1136 D Ave
National City, CA 91950
Phone (619) 336-2300

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

1601 Precision Park Ln
San Ysidro, CA 92173
Phone (619) 205-4585

4004 Beyer Blvd
San Ysidro, CA 92173
Phone (619) 428-1330

Interoperability endpoints

  • Direct secure messaging: eleute81255@scrippshlth.medalliesdirect.net
  • Direct secure messaging: ericleute@ibcc.allscriptsdirect.net
  • Direct secure messaging: eleute18881@syhealth.direct-ci.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1720171507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 459",
            "address_2": "PO",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919330459",
            "telephone_number": "619-429-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "949 PALM AVENUE",
            "address_2": "IMPERIAL BEACH HEALTH CENTER",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "91932",
            "telephone_number": "619-429-3733",
            "fax_number": "619-628-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUTE",
        "first_name": "ERIC",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A80832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Imperial Beach, CA

Sources for this page

Verify at the official NPI Registry.