Leilie June Javan, M.D.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

G86101 Issued in CA

Practice address

425 Haaland Dr
Suite 203
Thousand Oaks, CA 91361-5229

Phone

(805) 381-9800

Fax

(805) 496-8480

NPI assigned

Jul 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 23, 2024 through Jul 23, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Leilie Javan, M.D., a Medical Corporation

  • Plastic and Reconstructive Surgery Physician
  • Thousand Oaks, CA
  • NPI 1679609622
  NPD (past) Authorized official
• Los Robles Regional Medical Center

  dba Los Robles Hospital & Medical Center

  • General Acute Care Hospital
  • Thousand Oaks, CA
  • NPI 1033163019
  NPD (past)
• Simi Valley Hospital and Health Care Services

  • General Acute Care Hospital
  • Simi Valley, CA
  • NPI 1063495190
  NPD (past)
• West Hills Hospital

  dba West Hills Hospital & Medical Center

  • General Acute Care Hospital
  • West Hills, CA
  • NPI 1023065729
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263168000000",
    "number": "1821018045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 HAALAND DR",
            "address_2": "SUITE 203",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913615229",
            "telephone_number": "805-381-9800",
            "fax_number": "805-496-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 HAALAND DR",
            "address_2": "SUITE 203",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913615229",
            "telephone_number": "805-381-9800",
            "fax_number": "805-496-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVAN",
        "first_name": "LEILIE",
        "middle_name": "JUNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2010-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "G86101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter James Janousek, D.C.
• Jake Jared
• Tiffany Jasgir, BA
• Evelyn Jasso
• Briana O Jastrow, DPT
• Nosrat Javidan, M.D.
• Jay M Javurek, NP
• Jay Thompson Chiropractic Corp
• Sneha Kumar Jayaswal
• Ronak Jayswal, MD

• Plastic and Reconstructive Surgery Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Plastic and Reconstructive Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.