J. Michael Leary, M.D., Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

B10209 Issued in CA

Legal business name

J. MICHAEL LEARY, M.D., INC

Practice address

400 Westminster Ave
Newport Beach, CA 92663-4217

Phone

(949) 515-9377

Fax

(949) 515-9378

NPI assigned

Aug 6, 2008

Last updated

Aug 6, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael J Leary, M.D.

Title

President

Phone

(949) 515-9377

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Michael Leary, M.D.

  • Specialist
  • Newport Beach, CA
  • NPI 1891889606
  Medicare reassignment Care Compare group NPD
• Michael Joseph Setareh, M.D.

  • Family Medicine Physician
  • Newport Beach, CA
  • NPI 1568813244
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1891951059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WESTMINSTER AVE",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634217",
            "telephone_number": "949-515-9377",
            "fax_number": "949-515-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WESTMINSTER AVE",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634217",
            "telephone_number": "949-515-9377",
            "fax_number": "949-515-9378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. MICHAEL LEARY, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-06",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "LEARY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-515-9377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "B10209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kris V Iyer, M.D.
• Lori J Izabal, M.D.
• Shahla Izadian, DMD
• J Robert West, M.D., Inc (Southern California Dermatology)
• J. Donald Turner, D.D.S., Inc.
• Ja Hospice
• Janaia Jabril
• Brian Jeffry Jackson, NP
• Carol A Jackson, M.D.
• Jecoliah Jackson, RBT

• Specialist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.