Active NPI
Heather Leisy, MD, MBA, MPH
- Public Health & General Preventive Medicine Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- 193607
- Practice address
- 4301 X St
Sacramento, CA 95817-2214 - Phone
- (800) 282-3284
- NPI assigned
- Apr 15, 2011
- 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 |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | MD52531 | SC | |
| Public Health & General Preventive Medicine Physician | 2083P0901X | 193607 | CA | Primary |
Addresses
Primary practice location
4301 X St
Sacramento, CA 95817-2214
Mailing address
360 N Irby St
Florence, SC 29501-2808
Phone (843) 667-9414
Other practice location 1
360 N Irby St
Florence, SC 29501
Phone (843) 667-9414
Other names 1
- Dr. Heather Leisy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Medical University of South Carolina College of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3201 Data Dr
Rancho Cordova, CA 95670-7374
Phone (916) 851-1424
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 193607 | CA | MD | Public Health & General Preventive Medicine Physician |
| MD52531 | SC | MD | Public Health & General Preventive Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hopehealth Inc | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Hopehealth Inc | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients |
Locations
10850 White Rock Rd
Rancho Cordova, CA 95670
3201 Data Dr
Rncho Cordova, CA 95670
Phone (916) 851-1424
600 E Palmetto St
Florence, SC 29506
Phone (843) 656-0390
360 N Irby St
Florence, SC 29501
Phone (843) 656-0353
520 Thurgood Marshall Hwy
Ste B
Kingstree, SC 29556
Phone (843) 355-5628
12 W South St
Manning, SC 29102
Phone (803) 433-4124
210 E Market St
Timmonsville, SC 29161
Phone (843) 346-3730
Interoperability endpoints
- hleisy26264@directmcleodehealth.org
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1952998973
-
- Federally Qualified Health Center (FQHC)
- Florence, SC
- NPI 1821002411
-
- Multi-Specialty Clinic/Center
- Rancho Cordova, CA
- NPI 1871573428
-
- Federally Qualified Health Center (FQHC)
- Lake City, SC
- NPI 1649069618
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1710918545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723075200000",
"number": "1942590518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 N IRBY ST",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295012808",
"telephone_number": "843-667-9414",
"fax_number": "843-667-1362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 X ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172214",
"telephone_number": "800-282-3284"
}
],
"practiceLocations": [
{
"address_1": "360 N Irby St",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "SC",
"postal_code": "29501",
"country_code": "US",
"telephone_number": "843-667-9414",
"fax_number": "843-667-1362",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEISY",
"first_name": "HEATHER",
"credential": "MD, MBA, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-15",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "SC",
"license": "MD52531",
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "CA",
"license": "193607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HEATHER",
"last_name": "LEISY",
"prefix": "DR.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.