Active NPI
Anita Christine Leiva, PA-C
- Physician Assistant
- East Palo Alto, CA
National Provider Identifier
1881282374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 59762
- Practice address
- 1885 Bay Rd
East Palo Alto, CA 94303-1312 - Phone
- (650) 330-7441
- NPI assigned
- Jan 9, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 59762 | CA | Primary |
Addresses
Primary practice location
1885 Bay Rd
East Palo Alto, CA 94303-1312
Mailing address
1885 Bay Rd
East Palo Alto, CA 94303-1312
Phone (650) 330-7440
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
| License | State | Type | Specialty |
|---|---|---|---|
| 59762 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650240000000",
"number": "1881282374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1885 BAY RD",
"city": "EAST PALO ALTO",
"state": "CA",
"postal_code": "943031312",
"telephone_number": "650-330-7440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1885 BAY RD",
"city": "EAST PALO ALTO",
"state": "CA",
"postal_code": "943031312",
"telephone_number": "650-330-7441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEIVA",
"first_name": "ANITA",
"middle_name": "CHRISTINE",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-09",
"last_updated": "2022-04-18",
"certification_date": "2022-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "59762",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.