Active NPI
Leslie Ann Vanschaack, MD
- Pediatrics Physician
- Los Gatos, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A121754
- Practice address
- 320 Dardanelli LN Ste 16
Los Gatos, CA 95032-1419 - Phone
- (408) 866-7830
- NPI assigned
- Jan 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A121754 | CA | Primary |
| Pediatrics Physician | 208000000X | 0101240524 | VA |
Addresses
Primary practice location
320 Dardanelli LN Ste 16
Los Gatos, CA 95032-1419
Mailing address
320 Dardanelli LN Ste 16
Los Gatos, CA 95032-1419
Phone (408) 866-7830
Other names 1
- Dr. Leslie Ann Van Schaack
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A121754 | CA | MD | Pediatrics Physician |
| 0101240524 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LPCH Medical Group Div of Lucile | Pediatrics | Current | Accepting new patients |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter East Bay Medical Foundation | Past | Accepting new patients | |
| Sutter Valley Hospitals | Past | Accepting new patients |
Locations
3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800
370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200
15400 Los Gatos Blvd
Los Gatos, CA 95032
Phone (408) 523-3102
795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832
725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979
123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200
550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865
Interoperability endpoints
- lvanschaack239331@hisp.ehr.sutterhealth.org
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.
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- NPI 1013950807
-
- Clinical Medical Laboratory
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- NPI 1669287033
-
- Family Medicine Physician
- Orinda, CA
- NPI 1871538769
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1811946734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516147200000",
"number": "1902953862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 DARDANELLI LN STE 16",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950321419",
"telephone_number": "408-866-7830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 DARDANELLI LN STE 16",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950321419",
"telephone_number": "408-866-7830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANSCHAACK",
"first_name": "LESLIE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2018-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A121754",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101240524",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LESLIE",
"last_name": "VAN SCHAACK",
"middle_name": "ANN",
"prefix": "DR.",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Los Gatos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; 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.