Active NPI
Leland J Foshag, MD Inc
- Surgical Oncology Physician
- Los Angeles, CA
National Provider Identifier
1942544515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- G61645
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Oncology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659441293 | Other | CA | NPI- INDIVIDUAL |
National Provider Directory
National Provider DirectoryLocations
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.