Active NPI
Leslie Blanco Cusi Jr., FNP
- Family Nurse Practitioner
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95008145
- Practice address
- 1509 Wilson Ter
Glendale, CA 91206 - Phone
- (818) 863-4000
- NPI assigned
- Dec 9, 2017
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95008145 | CA | Primary |
Addresses
Primary practice location
1509 Wilson Ter
Glendale, CA 91206
Mailing address
1509 Wilson Ter
Glendale, CA 91206-4007
Phone (818) 863-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
31700 Temecula Pkwy
Temecula, CA 92592-5896
Phone (951) 331-2200
Hospital & facility affiliations
- Temecula Valley Hospital
- Southwest Healthcare Rancho Springs Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.02 of 100
- Improvement activities
- 40
- Cost
- 70.05
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Improvement activities
- 40
- Cost
- 84.29
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corona Hospitalist Medical Group, Inc. | Current | Accepting new patients | |
| Palomar Hospitalist Medical Group, Inc | Current | Accepting new patients | |
| Temecula Valley Hospitalist Medical Group, Inc. | Current | Accepting new patients |
Locations
800 S Main St
Corona, CA 92882
Phone (909) 625-5411
2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000
15615 Pomerado Rd
Poway, CA 92064
Phone (858) 613-4000
31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Temecula, CA
- NPI 1265874135
-
- Internal Medicine Physician
- Corona, CA
- NPI 1477832871
-
- Hospitalist Physician
- Escondido, CA
- NPI 1801466826
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Temecula, CA
- NPI 1679816201
-
- General Acute Care Hospital
- Murrieta, CA
- NPI 1245221050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526947200000",
"number": "1760997936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1509 WILSON TER",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912064007",
"telephone_number": "818-863-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1509 WILSON TER",
"city": "GLENDALE",
"state": "CA",
"postal_code": "91206",
"telephone_number": "818-863-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUSI",
"first_name": "LESLIE",
"middle_name": "BLANCO",
"name_suffix": "Jr.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-12-09",
"last_updated": "2018-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95008145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.
- 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.