Active NPI
Leslie Memsic, M.D.
- Surgical Oncology Physician
- Beverly Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- G496380
- 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, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G496380 | Medicaid | CA |
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
Enrollment records 1
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 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Mastectomy | 39 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G496380 | CA | MD | Surgical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied General and Oncology Surgical Associates Inc | Surgical Oncology | Current | Accepting new patients |
| Bedford Breast Center, Inc | Past | 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
- 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.
-
- Surgical Oncology Physician
- Beverly Hills, CA
- NPI 1831513266
-
- Multi-Specialty Clinic/Center
- Beverly Hills, CA
- NPI 1760878367
-
- Plastic and Reconstructive Surgery Physician
- Beverly Hills, CA
- NPI 1861979288
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
-
dba Los Robles Hospital & Medical Center
- General Acute Care Hospital
- Thousand Oaks, CA
- NPI 1306890389
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1124026273
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2016; 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.