Individual provider Active NPI

Leslie Kaneko, DDS

  • Prosthodontics
  • Monterey Park, CA
National Provider Identifier
1790192250
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
41928 Issued in CA
Practice address
823 S Atlantic Blvd Ste 6
Monterey Park, CA 91754-4721
Phone
(323) 283-2240
NPI assigned
Jul 16, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 41928 CA Primary

Addresses

Primary practice location

823 S Atlantic Blvd Ste 6
Monterey Park, CA 91754-4721

Mailing address

5485 Summerwood LN
Yorba Linda, CA 92886-4038
Phone (714) 223-7978

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
41928CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaneko & Furuichi Dental Corp 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.

NPI Registry JSON

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405468800000",
    "number": "1790192250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5485 SUMMERWOOD LN",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928864038",
            "telephone_number": "714-223-7978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 S ATLANTIC BLVD STE 6",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544721",
            "telephone_number": "323-283-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANEKO",
        "first_name": "LESLIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-16",
        "last_updated": "2014-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "41928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.