DR. LEON MELVIN EDELSTEIN (NPI# 1023177870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023177870 |
Entity Type | Individual |
Full Name | DR. LEON MELVIN EDELSTEIN |
Credential | M.D. |
Practice Address |
1007 Live Oak Blvd Ste A-1 Yuba City CA 95991-3454 |
Practice Telephone | 5306733790 |
Practice Fax Number | 5306735642 |
Mailing Telephone | 5306733790 |
Mailing Fax Number | 5306735642 |
Enumeration Date | 2006-12-07 |
Last Update Date | 2008-05-20 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207K00000X | Allergy & Immunology | 00A192080 | CA | Allopathic & Osteopathic Physicians |
N | 207N00000X | Dermatology | 00A192080 | CA | Allopathic & Osteopathic Physicians |
Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
00A192080 | CA | Allopathic & Osteopathic Physicians |
N | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
00A192080 | CA | Allopathic & Osteopathic Physicians |
N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
00A192080 | CA | Allopathic & Osteopathic Physicians |
N | 207ZD0900X |
Pathology Specialization: Dermatopathology |
00A192080 | CA | Allopathic & Osteopathic Physicians |
N | 207ZI0100X |
Pathology Specialization: Immunopathology |
00A192080 | CA | Allopathic & Osteopathic Physicians |
N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
00A192080 | CA | Allopathic & Osteopathic Physicians |
N | 207ZP0213X |
Pathology Specialization: Pediatric Pathology |
00A192080 | CA | Allopathic & Osteopathic Physicians |
N | 208D00000X | General Practice | 00A192080 | CA | Allopathic & Osteopathic Physicians |
N | 209800000X | Legal Medicine | 00A192080 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 00A192080 | 05 | |
CA | RAILROAD MEDICARE | 756071401 | 01 |
CA | TAX ID# | 94-2606006 | 01 |
Street Address |
1007 LIVE OAK BLVD STE A-1 |
City | YUBA CITY |
State | CA |
Zip Code | 95991-3454 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558360032 | Gary Steven Bernard | Obstetrics & Gynecology | 1007 Live Oak Blvd, Suite B2, Yuba City, CA 95991-3454 | 2005-07-18 |
1083116701 | Mykeala Joy Lawton-kern | Behavior Technician | 1007 Live Oak Blvd, Yuba City, CA 95991-3454 | 2018-03-08 |
1548456825 | Dermatology Pathology Medical Group, Inc | Allergy & Immunology | 1007 Live Oak Blvd, Ste A-1, Yuba City, CA 95991-3454 | 2007-09-19 |
1518030006 | W A Center for Women's Health | Obstetrics & Gynecology | 1007 Live Oak Blvd, Suite B2, Yuba City, CA 95991-3454 | 2006-11-15 |
1902826894 | Christopher G Genobaga | Obstetrics & Gynecology | 1007 Live Oak Blvd, B2, Yuba City, CA 95991-3454 | 2006-07-20 |
1649203175 | Douglas Germond Tolley Jr. | Obstetrics & Gynecology | 1007 Live Oak Blvd, Suite B2, Yuba City, CA 95991-3454 | 2006-07-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326670290 | Dr. Page Hudson Dental Corporation | Dentist | 871 Gray Avenue, Suite B, Yuba City, CA 95991 | 2020-02-10 |
1457990756 | Amar Sohail, Dds, Inc | Dentist | 718 W. Onstott Frontage Road, Yuba City, CA 95991 | 2020-01-03 |
1295370203 | An M Vo | Physical Therapist | 825 Jones Road, Yuba City, CA 95991 | 2019-11-13 |
1720551021 | Brittany L Adams | Behavior Technician | 471 Century Dr., Ste.b, Yuba City, CA 95991 | 2019-01-09 |
1124538681 | Youth for Change | Clinic/Center | 1525 Plumas Court, Suites C & D, Yuba City, CA 95991 | 2017-10-10 |
1760902076 | Licia Dering | Behavior Technician | 1425 Tradewind Drive, Yuba City, CA 95991 | 2017-06-27 |
1306371059 | Hafiz Feezer Kassam | Orthopaedic Surgery | 470 Plumas Blvd Ste 201, Yuba City, CA 95991 | 2017-05-01 |
1912444357 | Daniel & Max, LLC | Optometrist | 444 Colusa Ave., Suite A, Yuba City, CA 95991 | 2017-01-24 |
1790041556 | Deanna Marie Pollock | Anesthesiology | 460 Plumas Blvd Ste 202, Yuba City, CA 95991 | 2012-04-05 |
1053689406 | Michael Tzung-hsun Yang | Pharmacist | 2555 Aurora Drive, Yuba City, CA 95991 | 2011-12-13 |
Find all providers in zip 95991 |
Taxonomy Code | 207ND0900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | Dermatopathology |
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
1487011995 | Brouha Dermatology, P.C. | Dermatology | 1319 Beryl St, San Diego, CA 92109-2102 | 2016-01-28 |
1528317419 | Heidi M Gilchrist, Md, Inc. | Dermatology | 345 Saxony Road Suite 201, Encinitas, CA 92024-2787 | 2012-09-06 |
1194028233 | Pavillion Asc Inc. | Dermatology | 28901 S. Western Avenue #127, Rancho Palos Veredes, CA 90275 | 2010-12-13 |
1093021495 | Douglas G Hamilton Medical Corp | Dermatology | 6325 Topanga Canyon Blvd Ste 301, Woodland Hills, CA 91367-2029 | 2010-08-23 |
1124254933 | Ronnie M Abraham | Dermatology | 3440 Empresa Dr Ste B, San Luis Obispo, CA 93401 | 2009-06-08 |
1316187180 | Choice Telemed | Dermatology | 2001 Union St Ste 495, San Francisco, CA 94123-4128 | 2009-03-05 |
1063686707 | James D. Jacobitz, M.d. Inc. | Dermatology | 190 Eucalyptus Dr, San Francisco, CA 94132-1629 | 2008-04-14 |
1407034481 | Richard P Klimkowski Md PC | Dermatology | 224 Del Mar, #b, San Clemente, CA 92672-4011 | 2008-02-01 |
1457538415 | S. Gayle Widyolar, M.d., Inc. | Dermatology | 21 Montecito Dr, Corona Del Mar, CA 92625-1017 | 2008-01-22 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.