Organization Active NPI

Leland J Foshag, MD Inc

  • Surgical Oncology Physician
  • Los Angeles, CA
National Provider Identifier
1942544515
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
G61645 Issued in CA
Legal business name
LELAND J FOSHAG, MD INC
Practice address
11818 Wilshire Blvd Ste 200
Los Angeles, CA 90025-6647
Phone
(818) 907-7828
Fax
(818) 907-6157
NPI assigned
Nov 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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

Authorized official

Name
Dr. Leland Jay Foshag, M.D.
Title
President
Phone
(818) 907-7828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086X0206X G61645 CA Primary

Addresses

Primary practice location

11818 Wilshire Blvd Ste 200
Los Angeles, CA 90025-6647

Mailing address

15720 Ventura Blvd Ste 227
Encino, CA 91436-2978
Phone (818) 907-7828

Other identifiers 1

IdentifierTypeStateIssuer
1659441293OtherCANPI- INDIVIDUAL

National Provider Directory

National Provider Directory

Locations

11818 Wilshire Blvd
Ste 200
Los Angeles, CA 90025
Phone (310) 231-2121

NPI Registry JSON

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1942544515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15720 VENTURA BLVD STE 227",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362978",
            "telephone_number": "818-907-7828",
            "fax_number": "818-907-6157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11818 WILSHIRE BLVD STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256647",
            "telephone_number": "818-907-7828",
            "fax_number": "818-907-6157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LELAND J FOSHAG, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "FOSHAG",
        "authorized_official_first_name": "LELAND",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-907-7828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": "CA",
            "license": "G61645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI- INDIVIDUAL",
            "identifier": "1659441293",
            "state": "CA"
        }
    ],
    "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 Nov 20, 2012; 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.