Holly Leeds, MD

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

0G79232 Issued in CA

Practice address

152 Catherine LN Ste F
Grass Valley, CA 95945

Phone

(888) 966-2398

Fax

(844) 235-8334

NPI assigned

Jul 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1861413387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 CATHERINE LN STE F",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455756",
            "telephone_number": "888-966-2398",
            "fax_number": "844-235-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 CATHERINE LN STE F",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "95945",
            "telephone_number": "888-966-2398",
            "fax_number": "844-235-8334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11720 Education St",
            "address_2": "Suite 4",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "CA",
            "postal_code": "956022419",
            "country_code": "US",
            "telephone_number": "530-888-7468",
            "fax_number": "530-888-6661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11386 Pleasant Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Penn Valley",
            "state": "CA",
            "postal_code": "959469000",
            "country_code": "US",
            "telephone_number": "888-966-2398",
            "fax_number": "844-460-4678",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11720 Education St",
            "address_2": "Suite 4",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "CA",
            "postal_code": "956022419",
            "country_code": "US",
            "telephone_number": "530-888-7468",
            "fax_number": "530-888-6661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEEDS",
        "first_name": "HOLLY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "0G79232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0G79232",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G792320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Lear
• Eui Jae Lee, PHARMD
• James W. Lee, DMD
• Julia Y Lee
• Thomas C Lee, M.D.
• Darwin Stanley Leek, D.C.
• Jerald W Leitherer, PT
• Jennifer Lemaire, RN
• Christopher Lemus
• Frank Lenz

• Adult Medicine Physician in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.