Individual provider Active NPI

Jonathan Leichtling, M.D.

  • Surgery Physician
  • San Francisco, CA
National Provider Identifier
1811094915
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G31362 Issued in CA
Practice address
19 Wilmot St
San Francisco, CA 94115-2716
Phone
(415) 796-3004
Fax
(415) 928-1453
NPI assigned
Sep 20, 2006
Last updated
Oct 24, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G31362 CA Primary

Addresses

Primary practice location

19 Wilmot St
San Francisco, CA 94115-2716

Mailing address

19 Wilmot St
San Francisco, CA 94115-2716
Phone (415) 796-3004

Other practice location 1

19 Wilmot St
San Francisco, CA 94110
Phone (415) 923-3085

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081118000376 CA Practitioner - General Surgery 1153481346 Practice locations: San Francisco, CA

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Columbia University College of Physicians and Surgeons, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1580 Valencia St
Suite 809
San Francisco, CA 94110-4415
Phone (415) 796-3004

19 Wilmot St
San Francisco, CA 94115-2716
Phone (415) 796-3004

3555 Cesar Chavez
San Francisco, CA 94110-4403
Phone (415) 796-3004

Castro and Duboce Streets
San Francisco, CA 94114-1010
Phone (415) 796-3004

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy15
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)27
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Care Services Inc Past Accepting new patients
Franciscan Care Services Inc Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
UCSF Health Community Hospitals Past Accepting new patients
St Francis Medical Center Past Accepting new patients
California Pacific Pathology Medical Group Past Accepting new patients
Jonathan Leichtling MD, Inc Surgery PastSince Jan 1, 1990 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1811094915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 WILMOT ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152716",
            "telephone_number": "415-796-3004",
            "fax_number": "415-928-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 WILMOT ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152716",
            "telephone_number": "415-796-3004",
            "fax_number": "415-928-1453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Wilmot St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "94110",
            "country_code": "US",
            "telephone_number": "415-923-3085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEICHTLING",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G31362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.