Individual provider Active NPI

Leonard A. Cedars, M.D.

  • Maternal & Fetal Medicine Physician
  • San Luis Obispo, CA
National Provider Identifier
1821078692
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
G76782 Issued in CA
Practice address
100 Casa St
Suite D-3
San Luis Obispo, CA 93405-1883
Phone
(805) 546-2057
Fax
(805) 784-0895
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X G76782 CA Primary

Addresses

Primary practice location

100 Casa St
Suite D-3
San Luis Obispo, CA 93405-1883

Mailing address

100 Casa St
Suite D-3
San Luis Obispo, CA 93405-1883
Phone (805) 546-2057

Other identifiers 2

IdentifierTypeStateIssuer
1295741668OtherTYPE 1 NPI
1639159411OtherTYPE 2 NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170706001700 TX Practitioner - Obstetrics/Gynecology 1658421292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Southwestern Medical School at Dallas, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Magella Medical Associates Billing IncGroup PAC ID 8729970215, 6 clinicians

Practice addresses (Care Compare)

8160 Walnut Hill LN
Dallas, TX 75231-4339
Phone (214) 345-2467

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G76782CAMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Luis Obispo Rehabilitation Specialists, Inc. Past Accepting new patients
Pediatric Inpatient Specialists PC Past Accepting new patients
Obstetrix Medical Group of Phoenix PC Past Accepting new patients
Obstetrix Medical Group of the Central Coast Professional Corporation Maternal & Fetal Medicine Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1821078692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CASA ST",
            "address_2": "SUITE D-3",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051883",
            "telephone_number": "805-546-2057",
            "fax_number": "805-784-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CASA ST",
            "address_2": "SUITE D-3",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934051883",
            "telephone_number": "805-546-2057",
            "fax_number": "805-784-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEDARS",
        "first_name": "LEONARD",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CA",
            "license": "G76782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1295741668",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 2 NPI",
            "identifier": "1639159411",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.