Individual provider Active NPI

Leslie Memsic, M.D.

  • Surgical Oncology Physician
  • Beverly Hills, CA
National Provider Identifier
1821019456
Registry record updated Nov 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
G496380 Issued in CA
Practice address
436 N Bedford Dr
Ste 105
Beverly Hills, CA 90210-4323
Phone
(310) 278-8200
Fax
(310) 278-8230
NPI assigned
Jul 21, 2006
Last updated
Nov 19, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X G496380 CA Primary

Addresses

Primary practice location

436 N Bedford Dr
Ste 105
Beverly Hills, CA 90210-4323

Mailing address

436 N Bedford Dr
Suite 103
Beverly Hills, CA 90210-4310
Phone (310) 278-8200

Other identifiers 1

IdentifierTypeStateIssuer
00G496380MedicaidCA

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
I20120306000226 CA Practitioner - General SurgeryPractitioner - Internal MedicinePractitioner - Surgical Oncology 8123287497 Reassigns benefits to 1 organization
Practice locations: Beverly Hills, CA

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of California, San Diego School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

436 N Bedford Dr
Suite 105
Beverly Hills, CA 90210-4323
Phone (310) 337-9668

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Mastectomy39
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G496380CAMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allied General and Oncology Surgical Associates Inc Surgical Oncology CurrentSince Jul 21, 2015 Accepting new patients
Bedford Breast Center, Inc PastSince Jul 1, 2015 Accepting new patients
Cassileth Reconstructive Surgeons, Inc Past Accepting new patients

Locations

436 N Bedford Dr
Ste 103
Beverly Hills, CA 90210
Phone (310) 247-1900

436 N Bedford Dr
Ste 105
Beverly Hills, CA 90210
Phone (310) 278-8590

Interoperability endpoints

  • Direct secure messaging: lmemsic473459@oc.providencedirect.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479513600000",
    "number": "1821019456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 N BEDFORD DR",
            "address_2": "SUITE 103",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104310",
            "telephone_number": "310-278-8200",
            "fax_number": "310-278-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 N BEDFORD DR",
            "address_2": "STE 105",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104323",
            "telephone_number": "310-278-8200",
            "fax_number": "310-278-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEMSIC",
        "first_name": "LESLIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2016-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "CA",
            "license": "G496380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G496380",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.