Active NPI
Leonard A. Cedars, M.D.
- Maternal & Fetal Medicine Physician
- San Luis Obispo, CA
National Provider Identifier
1821078692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- G76782
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295741668 | Other | TYPE 1 NPI | |
| 1639159411 | Other | TYPE 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| G76782 | CA | MD | Maternal & Fetal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Neonatal-Perinatal Medicine Physician
- Round Rock, TX
- NPI 1083631071
-
- Maternal & Fetal Medicine Physician
- Orange, CA
- NPI 1790970416
-
- Hospitalist Physician
- Santa Maria, CA
- NPI 1972829224
-
- Physical Medicine & Rehabilitation Physician
- San Luis Obispo, CA
- NPI 1073645909
-
- Pediatric Cardiology Physician
- Phoenix, AZ
- NPI 1346269594
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.