Active NPI
Leo Treyzon, M.D.
- Gastroenterology Physician
- Beverly Hills, CA
National Provider Identifier
1740304203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- A81388
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| A81388 | CA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gi Anesthesia Beverly Hills PC | Current | Accepting new patients | |
| Beverly Hills Endosurgical Center LLC | Past | 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.
-
- Anesthesiology Physician
- Beverly Hills, CA
- NPI 1417847245
-
- Ambulatory Surgical Clinic/Center
- Beverly Hills, CA
- NPI 1003437336
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.