Individual provider Active NPI

Benjamin A Leshin, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Los Angeles, CA
National Provider Identifier
1891055091
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A142191 Issued in CA
Practice address
1127 Wilshire Blvd Ste 800
Los Angeles, CA 90017-3909
Phone
(213) 839-1119
Fax
(213) 839-1120
NPI assigned
May 22, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X A142191 CA Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X A142191 CA

Addresses

Primary practice location

1127 Wilshire Blvd Ste 800
Los Angeles, CA 90017-3909

Mailing address

10565 Civic Center Dr Ste 250
Rancho Cucamonga, CA 91730-3854
Phone (909) 493-3800

Other practice location 1

10565 Civic Center Dr Ste 165
Rancho Cucamonga, CA 91730-3854
Phone (909) 985-2211

Other practice location 2

1125 E 17th St Ste N452
Santa Ana, CA 92701-2270
Phone (714) 597-7214

Other practice location 3

69780 Stellar Dr Ste A
Rancho Mirage, CA 92270-2954
Phone (760) 424-3380

Other identifiers 1

IdentifierTypeStateIssuer
A142191OtherCACA LIC #A142191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160928001314 CA Practitioner - Physical Medicine and Rehabilitation 4880981224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Algos Inc a Medical Corporation 24 clinicians

Practice addresses (Care Compare)

1017 S Fair Oaks Ave
Pasadena, CA 91105-2621
Phone (626) 403-6200

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A142191CAMDPhysical Medicine & Rehabilitation Physician

Practice roles (5 of 6)

OrganizationSpecialtyStatusNew patients
Algos Inc., a Medical Corporation Pain Medicine CurrentSince Aug 9, 2016 Accepting new patients
Algos Inc., a Medical Corporation CurrentSince Aug 9, 2016 Accepting new patients
Algos Inc., a Medical Corporation Physical Medicine & Rehabilitation Current Accepting new patients
Algos Inc., a Medical Corporation Past Accepting new patients
Algos Inc., a Medical Corporation Physical Medicine & Rehabilitation Past Accepting new patients

Locations

830 S Citrus Ave
Ste 201
Azusa, CA 91702
Phone (626) 974-1441

13193 Central Ave
Ste 220
Chino, CA 91710
Phone (909) 591-0843

891 Kuhn Dr
Ste 106
Chula Vista, CA 91914
Phone (619) 761-5308

9808 Venice Blvd
Ste 706
Culver City, CA 90232
Phone (310) 839-3200

1400 S Grand Ave
Ste 707
Los Angeles, CA 90015
Phone (213) 839-1119

1120 W Washington Blvd
Los Angeles, CA 90015
Phone (213) 623-2225

1127 Wilshire Blvd
Ste 800
Los Angeles, CA 90017
Phone (213) 241-7250

16415 Colorado Ave
Ste 402
Paramount, CA 90723
Phone (562) 207-4644

1017 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 403-6200

10565 Civic Center Dr
Ste 250
Rancho Cucamonga, CA 91730
Phone (909) 493-3800

69780 Stellar Dr
Ste A
Rancho Mirage, CA 92270
Phone (760) 424-3380

69780 Stellar Dr
#A
Rancho Mirage, CA 92270
Phone (760) 424-3380

10565 Civic Center Dr
Ste 165
Rch Cucamonga, CA 91730
Phone (888) 824-2144

18040 Sherman Way
Ste 200
Reseda, CA 91335
Phone (818) 212-2223

1125 E 17th St
Ste N452
Santa Ana, CA 92701
Phone (714) 597-7214

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1891055091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10565 CIVIC CENTER DR STE 250",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303854",
            "telephone_number": "909-493-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 WILSHIRE BLVD STE 800",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900173909",
            "telephone_number": "213-839-1119",
            "fax_number": "213-839-1120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10565 Civic Center Dr Ste 165",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917303854",
            "country_code": "US",
            "telephone_number": "909-985-2211",
            "fax_number": "909-985-2244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1125 E 17th St Ste N452",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927012270",
            "country_code": "US",
            "telephone_number": "714-597-7214",
            "fax_number": "714-727-3290",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "69780 Stellar Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922702954",
            "country_code": "US",
            "telephone_number": "760-424-3380",
            "fax_number": "760-424-3375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LESHIN",
        "first_name": "BENJAMIN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-22",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A142191",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A142191",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LIC #A142191",
            "identifier": "A142191",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.