Brian J. Leberthon, MD., a Medical

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

G79934 Issued in CA

Legal business name

BRIAN J. LEBERTHON, MD., A MEDICAL

Practice address

1135 S Sunset Ave
Suite 207
West Covina, CA 91790-3937

Phone

(626) 338-9560

Fax

(626) 338-9360

NPI assigned

May 9, 2007

Last updated

Dec 13, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brian John Leberthon, M.D.NPI 1326023979

Title

M.D. , President of Corp.

Phone

(626) 338-9560

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Brian J Leberthon MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Brian Leberthon

  • Oncology Clinic/Center
  • West Covina, CA
  • NPI 1568707750
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian J Leberthon, M.D.

  • Hematology & Oncology Physician
  • West Covina, CA
  • NPI 1326023979
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1821202060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 S SUNSET AVE",
            "address_2": "SUITE 207",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903937",
            "telephone_number": "626-338-9560",
            "fax_number": "626-338-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 S SUNSET AVE",
            "address_2": "SUITE 207",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903937",
            "telephone_number": "626-338-9560",
            "fax_number": "626-338-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN J. LEBERTHON, MD., A MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "LEBERTHON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "M.D. , PRESIDENT OF CORP.",
        "authorized_official_telephone_number": "626-338-9560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "G79934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G799340",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chantal Brady
• Duangdeun Jean Brahmopala, PSYD, NP, CNS
• Lane Braver, PA
• Diana Bravo
• Patricia Breen-McDonough
• Brian K Machida MD a Medical Corp
• Brian Leberthon
• Bridges Comm Treatment SVS.Inc. (BRIDGES, Inc.)
• Bridgeway Hospice Inc
• Jaylen Brito

• Hematology & Oncology Physician in West Covina, CA
• Providers in West Covina, CA by specialty
• Hematology & Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.