Leslie a. Storey, M.D., Inc.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

A81742 Issued in CA

Legal business name

LESLIE A. STOREY, M.D., INC.

Practice address

7777 N. Ingram Ave.
Fresno, CA 93711-6281

Phone

(559) 472-7546

Fax

(559) 385-7733

NPI assigned

Jun 15, 2017

Last updated

Jul 21, 2022By 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

Leslie A. Storey, M.D.NPI 1043313133

Title

Owner

Phone

(559) 472-7546

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 9

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.

• Leslie Anne Storey, MD

  • MOHS-Micrographic Surgery Physician
  • Fresno, CA
  • NPI 1043313133
  Medicare reassignment Care Compare group NPD Authorized official
• Cheri Lynne Ponce, PA-C

  • Physician Assistant
  • Fresno, CA
  • NPI 1134374465
  Medicare reassignment Care Compare group
• Nicole Renee Davis-Marenco, FNP

  • Nurse Practitioner
  • Modesto, CA
  • NPI 1114788767
  Medicare reassignment NPD
• Jessica Lynne Christensen, PA-C

  • Physician Assistant
  • Fresno, CA
  • NPI 1285136507
  Medicare reassignment
• Anton Van Metre-Keen, PA-C

  • Physician Assistant
  • Fresno, CA
  • NPI 1376277657
  Medicare reassignment
• Hannah Christine Bauman, PA-C

  • Physician Assistant
  • Leawood, KS
  • NPI 1831841055

  CA

  Medicare reassignment
• Brandon T McCormick

  • Family Nurse Practitioner
  • Fresno, CA
  • NPI 1720826779
  NPD
• Marie Celine Roque

  • Nurse Practitioner
  • Fresno, CA
  • NPI 1508647967
  NPD
• Maybo Heu

  • Primary Care Nurse Practitioner
  • Fresno, CA
  • NPI 1134607963
  NPD (past)

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1871023432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4388 N WILSON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937043628",
            "telephone_number": "559-476-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 N. INGRAM AVE.",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937116281",
            "telephone_number": "559-472-7546",
            "fax_number": "559-385-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE A. STOREY, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "STOREY",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-472-7546",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "A81742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Catherine Leroux, OT
• Edward Carwile Leroy Jr., MD
• Susie Michelle Leroy, PA
• Elsa Lapuz Lerro, M.D.
• Alexsys Lesan
• Tikesha Leslie-Jones, P.H.D.
• Mary Leslie
• Richard Lesperance, M.D.
• Corrine Adame Lester
• Daryl Lester

• MOHS-Micrographic Surgery Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• MOHS-Micrographic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.