Active NPI
Leslie Julian Prins, D.C .
- Neurology Chiropractor
- Alameda, CA
National Provider Identifier
1730399817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- 15636
- Practice address
- 2316 Central Ave
Alameda, CA 94501-4514 - Phone
- (510) 769-6066
- Fax
- (510) 769-1092
- NPI assigned
- May 23, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | 15636 | CA | Primary |
Addresses
Primary practice location
2316 Central Ave
Alameda, CA 94501-4514
Mailing address
2527 Noble Ave
Alameda, CA 94501-3022
Phone (510) 521-0792
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15636 | CA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730399817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2527 NOBLE AVE",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945013022",
"telephone_number": "510-521-0792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2316 CENTRAL AVE",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945014514",
"telephone_number": "510-769-6066",
"fax_number": "510-769-1092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINS",
"first_name": "LESLIE",
"middle_name": "JULIAN",
"credential": "D.C .",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "CA",
"license": "15636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alameda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.