Active NPI
Steven Mark Leshaw, MD
- MOHS-Micrographic Surgery Physician
- Oceanside, CA
National Provider Identifier
1952333254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- G29272
- Practice address
- 3613 Vista Way
Oceanside, CA 92056-4522 - Phone
- (760) 758-5340
- Fax
- (760) 758-5502
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | G29272 | CA | Primary |
Addresses
Primary practice location
3613 Vista Way
Oceanside, CA 92056-4522
Mailing address
3613 Vista Way
Oceanside, CA 92056-4522
Phone (760) 758-5340
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
| License | State | Type | Specialty |
|---|---|---|---|
| 29272 | CA | MD | Dentist |
| G29272 | CA | MD | MOHS-Micrographic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353369600000",
"number": "1952333254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3613 VISTA WAY",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920564522",
"telephone_number": "760-758-5340",
"fax_number": "760-758-5502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3613 VISTA WAY",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920564522",
"telephone_number": "760-758-5340",
"fax_number": "760-758-5502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESHAW",
"first_name": "STEVEN",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2012-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "CA",
"license": "G29272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oceanside, 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.