Individual provider Active NPI

Leila Bozorgnia, MD

  • Pediatrics Physician
  • Los Angeles, CA
National Provider Identifier
1881820934
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A107098 Issued in CA
Practice address
2990 S Sepulveda Blvd Ste 202
Los Angeles, CA 90064-3973
Phone
(424) 277-2020
Fax
(310) 388-1104
NPI assigned
Jun 3, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A107098 CA Primary

Addresses

Primary practice location

2990 S Sepulveda Blvd Ste 202
Los Angeles, CA 90064-3973

Mailing address

2990 S Sepulveda Blvd Ste 202
Los Angeles, CA 90064-3973
Phone (424) 277-2020

Other practice location 1

23530 Hawthorne Blvd Ste 260
Torrance, CA 90505-4726
Phone (424) 322-9866

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Leila Bozorgnia MD Inc Pediatrics Current Accepting new patients
Leila Bozorgnia MD Inc Pediatrics CurrentSince Apr 24, 2022 Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Providence Saint John'S Health Center Past Accepting new patients

Locations

2990 S Sepulveda Blvd
Ste 202
Los Angeles, CA 90064
Phone (424) 227-2020

23530 Hawthorne Blvd
Ste 260
Torrance, CA 90505
Phone (310) 986-1550

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1881820934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 S SEPULVEDA BLVD STE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900643973",
            "telephone_number": "424-277-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 S SEPULVEDA BLVD STE 202",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900643973",
            "telephone_number": "424-277-2020",
            "fax_number": "310-388-1104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23530 Hawthorne Blvd Ste 260",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905054726",
            "country_code": "US",
            "telephone_number": "424-322-9866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOZORGNIA",
        "first_name": "LEILA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-03",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A107098",
            "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 Apr 20, 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.

Verify at the official NPI Registry.