Suvepa Lertwongkanakool, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E3715 Issued in CA

Practice address

1234 Granville Avenue
#1
Los Angeles, CA 90025-1685

Phone

(310) 231-4391

Fax

(310) 231-4390

NPI assigned

Nov 30, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420675200000",
    "number": "1871661793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 GRANVILLE AVENUE",
            "address_2": "#1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251685",
            "telephone_number": "310-231-4391",
            "fax_number": "310-231-4390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 GRANVILLE AVENUE",
            "address_2": "#1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251685",
            "telephone_number": "310-231-4391",
            "fax_number": "310-231-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERTWONGKANAKOOL",
        "first_name": "SUVEPA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2015-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480016471",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E37150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruth J. Lerner, PH.D.
• Suzanne M Lerner, ATC
• Leroy R Perry Jr DC a Chiropractic Corporation
• Amanda Leroy, B.A
• Andree M Leroy, M.D.
• Christine M. Lesaca, P.N.P.
• Grace Alden Lesce
• Rebecca Lesesne
• Kaley Leshem, LCSW
• Tyler Michael Lesher, DHSC, ATC, CSCS

• Podiatrist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; 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.