Individual provider Active NPI

Victoria Marlene Leiphart, M.D.

  • Gynecology Physician
  • Fremont, CA
National Provider Identifier
1912976754
Registry record updated Dec 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
G064877 Issued in CA
Practice address
2299 Mowry Ave
Suite 3C
Fremont, CA 94538-1621
Phone
(510) 248-1470
Fax
(510) 608-6055
NPI assigned
Mar 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X G064877 CA Primary

Addresses

Primary practice location

2299 Mowry Ave
Suite 3C
Fremont, CA 94538-1621

Mailing address

2299 Mowry Ave
Ste 3C
Fremont, CA 94538-1621
Phone (510) 248-1470

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

State licenses

LicenseStateTypeSpecialty
G064877CAMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Township Hospital District Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: vleiphart13648@direct.whhs.com

Organizations & group practices 1

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": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1912976754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2299 MOWRY AVE",
            "address_2": "STE 3C",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381621",
            "telephone_number": "510-248-1470",
            "fax_number": "510-608-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2299 MOWRY AVE",
            "address_2": "SUITE 3C",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381621",
            "telephone_number": "510-248-1470",
            "fax_number": "510-608-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIPHART",
        "first_name": "VICTORIA",
        "middle_name": "MARLENE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "G064877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2018; 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.