Jay Leathers MD Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A121700 Issued in CA

Legal business name

JAY LEATHERS MD INC

Practice address

4676 Lakeview Ave
Suite 105
Yorba Linda, CA 92886-2489

Phone

(714) 930-3096

NPI assigned

Nov 16, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jay Leathers, M.D.

Title

Owner

Phone

(714) 930-3096

Specialties & licenses 1

Addresses

Other names 1

• LeathersMD Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1992179832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4676 LAKEVIEW AVE",
            "address_2": "SUITE 105",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928862489",
            "telephone_number": "714-930-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4676 LAKEVIEW AVE",
            "address_2": "SUITE 105",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928862489",
            "telephone_number": "714-930-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY LEATHERS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "LEATHERS",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-930-3096",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A121700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LeathersMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatry Physician in Yorba Linda, CA
• Providers in Yorba Linda, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.