Mary E Leslie, NUTRITIONIST

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

Practice address

2012 S Victoria Ave
Los Angeles, CA 90016-1814

Phone

(626) 590-6461

NPI assigned

Jun 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• David Kattan MD a Professional Medical Corporation

  • Cardiovascular Disease Physician
  • Los Angeles, CA
  • NPI 1487609459
  NPD (past)
• Kirk Uomoto MD a Medical Corporation

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1558318600
  NPD (past)

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1760685663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 S VICTORIA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900161814",
            "telephone_number": "626-590-6461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 S VICTORIA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900161814",
            "telephone_number": "626-590-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESLIE",
        "first_name": "MARY",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "NUTRITIONIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Leslie, MSN, RN, PMHNP-BC
• Christal Leslie, FNP
• Harry Braham Leslie III, LMFT
• Kasaan Leslie
• Lyndon Leslie
• Scott Leslie, MD
• Timothy Leslie Jr., M.A.
• Egle T. Lesniauskas, D.D,S.
• Agata Lesniewski, DDS
• Cynthia Grace Lester, M.S.W

• Nutrition Education Nutritionist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Nutrition Education Nutritionist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.