Individual provider Active NPI

Leo Treyzon, M.D.

  • Gastroenterology Physician
  • Beverly Hills, CA
National Provider Identifier
1740304203
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A81388 Issued in CA
Practice address
9454 Wilshire Blvd Ste 510
Beverly Hills, CA 90212-2904
Phone
(310) 688-4141
Fax
(424) 488-7156
NPI assigned
Mar 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A81388 CA Primary

Addresses

Primary practice location

9454 Wilshire Blvd Ste 510
Beverly Hills, CA 90212-2904

Mailing address

9454 Wilshire Blvd Ste 510
Beverly Hills, CA 90212-2904
Phone (310) 688-4141

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address leo.treyzon@1701675204612.direct.elationemr.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Nov 2, 2017 through Nov 2, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A81388CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gi Anesthesia Beverly Hills PC Current Accepting new patients
Beverly Hills Endosurgical Center LLC PastSince Nov 12, 2024 Accepting new patients

Locations

9454 Wilshire Blvd
Ste 510
Beverly Hills, CA 90212
Phone (310) 688-4141

Organizations & group practices 2

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1740304203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9454 WILSHIRE BLVD STE 510",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122904",
            "telephone_number": "310-688-4141",
            "fax_number": "424-488-7156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9454 WILSHIRE BLVD STE 510",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122904",
            "telephone_number": "310-688-4141",
            "fax_number": "424-488-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREYZON",
        "first_name": "LEO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A81388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "leo.treyzon@1701675204612.direct.elationemr.com",
            "affiliation": "N",
            "address_1": "9454 Wilshire Blvd Ste 510",
            "city": "Beverly Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902122904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.