Leslie A. Tyska, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G078139 Issued in CA

Practice address

3801 W Temple Ave
BLDG 46
Pomona, CA 91768-2557

Phone

(909) 869-4000

NPI assigned

Oct 23, 2007

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

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: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Student Health Services

  • Health Service Clinic/Center
  • Pomona, CA
  • NPI 1932396512
  NPD (past)

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459900800000",
    "number": "1871782037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 BLAISDELL DR",
            "address_2": "BLDG 46",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917113113",
            "telephone_number": "909-621-6391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 W TEMPLE AVE",
            "address_2": "BLDG 46",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917682557",
            "telephone_number": "909-869-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYSKA",
        "first_name": "LESLIE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-23",
        "last_updated": "2016-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G078139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Turner
• Ahmed Twaige
• Persephonie Anastasia Tweten
• Mary Alistir Casas Ty
• Sarah Tynes, MSW
• U.S. Healthworks Medical Group, PC
• Melanie N Uballez
• Elochukwu Ude
• Ikechukwu Ude
• Anthony Joseph Ugliano III

• Family Medicine Physician in Pomona, CA
• Providers in Pomona, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.