Individual provider Active NPI

Leonard Wayne Naftalin, DDS

  • Dental Anesthesiology
  • Los Angeles, CA
National Provider Identifier
1861612020
Registry record updated Feb 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AnesthesiologyTaxonomy code 1223D0004X
License
45501 Issued in CA
Practice address
9911 W Pico Blvd Ste 1450
Los Angeles, CA 90035-2713
Phone
(310) 795-5027
NPI assigned
Apr 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Anesthesiology 1223D0004X 45501 CA Primary

Addresses

Primary practice location

9911 W Pico Blvd Ste 1450
Los Angeles, CA 90035-2713

Mailing address

6323 Esplanade
Playa del Rey, CA 90293-7581
Phone (310) 795-5027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
45501CAMDDentist Anesthesiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Leonard Naftalin DDS a Dental Corporation Dental Anesthesiology Past Accepting new patients

Organizations & group practices 1

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": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392940800000",
    "number": "1861612020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6323 ESPLANADE",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902937581",
            "telephone_number": "310-795-5027",
            "fax_number": "310-578-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9911 W PICO BLVD STE 1450",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900352713",
            "telephone_number": "310-795-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAFTALIN",
        "first_name": "LEONARD",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-27",
        "last_updated": "2014-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "CA",
            "license": "45501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; 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.