Leanna Leigh Ursales, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

64105 Issued in CA

Practice address

11346 Mountain View Ave Ste D
Loma Linda, CA 92354-3833

Phone

(909) 796-0099

Fax

(909) 796-9036

NPI assigned

Oct 24, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GU

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• P Putrasahan DDS Inc

  • General Practice Dentistry
  • Cathedral City, CA
  • NPI 1831386168
  NPD (past)

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1821493487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923540850",
            "telephone_number": "909-796-0099",
            "fax_number": "909-796-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11346 MOUNTAIN VIEW AVE STE D",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543833",
            "telephone_number": "909-796-0099",
            "fax_number": "909-796-9036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URSALES",
        "first_name": "LEANNA LEIGH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-24",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "64105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Giovanni Urena
• Danae Nicole Uribe, PT, DPT
• Marcos Estevan Uribe, M.D.
• Ryan Patrick Urquhart, CRNA
• Anna Leigh Christine Ornopia Ursales, MD
• Rogelyne Dela Cruz Ursua
• Alexander Usmanov, MD
• Ernst Danielle Arriola Uychocde
• Karen Uyemura, N.P.
• Thomas I Uzzi, REGISTERED NURSE

• General Practice Dentistry in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.