Active NPI
Joshua Leichtberg, M.D.
- General Practice Physician
- Corona del Mar, CA
National Provider Identifier
1972884385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A43282
- Practice address
- 3535 E Coast Hwy # 125
Corona del Mar, CA 92625-2404 - Phone
- (800) 707-0702
- Fax
- (888) 273-0896
- NPI assigned
- Aug 30, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A43282 | CA | |
| Occupational Medicine Physician | 2083X0100X | A43282 | CA | |
| General Practice Physician | 208D00000X | A43282 | CA | Primary |
Addresses
Primary practice location
3535 E Coast Hwy # 125
Corona del Mar, CA 92625-2404
Mailing address
3535 E Coast Hwy # 125
Corona del Mar, CA 92625-2404
Phone (800) 707-0702
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 |
|---|---|---|---|
| A43282 | CA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Occupational Medicine Providers Ontario Inc | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Occupational Medicine Clinic/Center
- Riverside, CA
- NPI 1972861797
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676592000000",
"number": "1972884385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3535 E COAST HWY # 125",
"city": "CORONA DEL MAR",
"state": "CA",
"postal_code": "926252404",
"telephone_number": "800-707-0702",
"fax_number": "888-273-0896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 E COAST HWY # 125",
"city": "CORONA DEL MAR",
"state": "CA",
"postal_code": "926252404",
"telephone_number": "800-707-0702",
"fax_number": "888-273-0896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEICHTBERG",
"first_name": "JOSHUA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-30",
"last_updated": "2023-02-17",
"certification_date": "2023-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A43282",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "CA",
"license": "A43282",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A43282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corona del Mar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.