Active NPI
Fredda Leiter
- Geriatric Psychiatry Physician
- Fresno, CA
National Provider Identifier
1750405957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Psychiatry Physician
- License
- G80656
- Practice address
- 4441 E Kings Canyon Rd
Fresno, CA 93702-3604 - Phone
- (559) 600-9059
- NPI assigned
- Mar 16, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Geriatric Psychiatry Physician | 2084P0805X | G80656 | CA | Primary |
Addresses
Primary practice location
4441 E Kings Canyon Rd
Fresno, CA 93702-3604
Mailing address
3291 Loma Vista Rd
Ventura, CA 93003-3099
Phone (805) 652-6556
Other practice location 1
3291 Loma Vista Rd
Ventura, CA 93003-3099
Phone (805) 652-6556
Other practice location 2
601 E Daily Dr Ste 110
Camarillo, CA 93010-5838
Phone (805) 485-5051
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G80656 | CA | MD | Geriatric Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sterling Care Psychiatric Group, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- Camarillo, CA
- NPI 1982251385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578960000000",
"number": "1750405957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3291 LOMA VISTA RD",
"city": "VENTURA",
"state": "CA",
"postal_code": "930033099",
"telephone_number": "805-652-6556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4441 E KINGS CANYON RD",
"city": "FRESNO",
"state": "CA",
"postal_code": "937023604",
"telephone_number": "559-600-9059"
}
],
"practiceLocations": [
{
"address_1": "3291 Loma Vista Rd",
"address_purpose": "LOCATION",
"city": "Ventura",
"state": "CA",
"postal_code": "930033099",
"country_code": "US",
"telephone_number": "805-652-6556",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 E Daily Dr Ste 110",
"address_purpose": "LOCATION",
"city": "Camarillo",
"state": "CA",
"postal_code": "930105838",
"country_code": "US",
"telephone_number": "805-485-5051",
"fax_number": "805-278-7945",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEITER",
"first_name": "FREDDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2020-01-14",
"certification_date": "2020-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "CA",
"license": "G80656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.