Active NPI
Leonardo D Mourao, IDC
- Military Health Care Provider
- Oceanside, CA
National Provider Identifier
1972842680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Health Care Provider
- Practice address
- 618 Pusan Dr
Oceanside, CA 92058-8148 - Phone
- (760) 725-5865
- NPI assigned
- Feb 1, 2013
- 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 |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | Primary |
Addresses
Primary practice location
618 Pusan Dr
Oceanside, CA 92058-8148
Mailing address
1St MLG 7TH Esb
555677
Fpo, AP 92055-0000
Phone (760) 725-5865
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359676800000",
"number": "1972842680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "MIL",
"address_1": "1ST MLG 7TH ESB",
"address_2": "555677",
"city": "FPO",
"state": "AP",
"postal_code": "920550000",
"telephone_number": "760-725-5865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 PUSAN DR",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920588148",
"telephone_number": "760-725-5865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOURAO",
"first_name": "LEONARDO",
"middle_name": "D",
"credential": "IDC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-01",
"last_updated": "2013-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": null,
"license": null,
"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 Feb 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.