DR. LESLIE ANNE EARLL (NPI# 1144272915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144272915 |
| Entity Type | Individual |
| Full Name | DR. LESLIE ANNE EARLL |
| Credential | MD |
| Practice Address |
2501 Harbor Blvd Costa Mesa CA 92626-6143 |
| Mailing Address |
1600 9th Street Room 205 Mailstop 2-3 Sacramento CA 95814-6414 |
| Practice Telephone | 7149575000 |
| Mailing Telephone | 9166542431 |
| Mailing Fax Number | 9166543186 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
G83223 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | BE8354514 | 01 |
| Street Address |
2501 HARBOR BLVD |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92626-6143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225089592 | State of California - Department of Developmental Services | Long Term Care Hospital | 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 | 2006-05-12 |
| 1639659774 | Afsar Iranmanesh | Pharmacist | 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 | 2018-08-17 |
| 1093217531 | Wendy Pang | Pharmacist | 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 | 2018-02-28 |
| 1316330459 | Raymond Vagas | Psychologist | 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 | 2015-03-13 |
| 1083995930 | Cory Rizzuto | Counselor | 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 | 2011-09-06 |
| 1801123021 | Ashley Brooke Gardner | Social Worker | 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 | 2009-11-09 |
| 1861655045 | Ying-ling Chao | Social Worker | 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 | 2008-07-08 |
| 1316953805 | Michael Kao | Family Medicine | 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 | 2006-08-01 |
| 1295759298 | Sienna Sablan Go | Family Medicine | 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 | 2006-07-26 |
| 1760404040 | Thanhtuyen Do | Physical Medicine & Rehabilitation | 2501 Harbor Blvd, Department of Oehs Director, Dr. Do, Costa Mesa, CA 92626-6143 | 2006-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536982 | Sergio Gutierrez | Behavior Technician | 3303 Harbor Blvd., Suite B8, Costa Mesa, CA 92626 | 2020-10-22 |
| 1780201848 | Kelly Chauvet | Behavior Technician | 1503 Nutmeg Place Suite 110, Costa Mesa, CA 92626 | 2020-07-06 |
| 1316564610 | Timo Rosa | Behavior Technician | 1503 Nutmeg Place, Suite 110, Costa Mesa, CA 92626 | 2020-07-02 |
| 1255966115 | Dalia A Sehweil | Behavior Technician | 1111 Baker, Costa Mesa, CA 92626 | 2020-03-11 |
| 1265071096 | Austin Stotelmyre | Behavior Technician | 1111 Baker St Costa Mesa 92626, Costa Mesa, CA 92626 | 2019-12-26 |
| 1396383022 | The Open Table | Community/Behavioral Health | 151 Kalmus Dr. Bldg C, Suite 100, Costa Mesa, CA 92626 | 2019-12-12 |
| 1851933550 | Jennifer Rivera | Behavior Technician | 1111 Baker St. Unit #a, Costa Mesa, CA 92626 | 2019-10-14 |
| 1962053595 | Peter Na | Behavior Technician | Behavior Functions 3303 Harbor Blvd, Ste B8, Costa Mesa, CA 92626 | 2019-09-25 |
| 1346897147 | Jennifer Lopez | Behavior Technician | 555 Alton Blvd Suite 150, Costa Mesa, CA 92626 | 2019-08-26 |
| 1679134084 | Danny Garcia Chiropractic, PC | Chiropractor | 1503 South Coast Drive, Suite 319, Costa Mesa, CA 92626 | 2019-06-26 |
| Find all providers in zip 92626 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962583336 | Tatiana M Tretiakova | Psychiatry & Neurology | 3115 Redhill Ave, Costa Mesa, CA 92626 | 2006-10-18 |
| 1376631291 | Piper Celeste Lillehoff | Psychiatry & Neurology | 3115 Red Hill Ave, Costa Mesa, CA 92626-4517 | 2006-10-10 |
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| 1225527427 | Better Life Therapy, Inc. | Psychiatry & Neurology | 9520 Escondido Canyon Rd, Santa Clarita, CA 91390-4811 | 2018-05-03 |
| 1821515099 | J. Kirk Hartman, M.d. | Psychiatry & Neurology | 3860 Blackhawk Rd # 120, Danville, CA 94506-4905 | 2017-08-28 |
| 1912432055 | Centered Health LLC | Psychiatry & Neurology | 6422 W 6th St, Los Angeles, CA 90048-4714 | 2017-04-26 |
| 1255871182 | Carol R Harrus | Psychiatry & Neurology | 517 Patricia Ln, Palo Alto, CA 94303-2856 | 2017-02-25 |
| 1437539509 | Ehab Yacoub, Md Inc. | Psychiatry & Neurology | 1225 W 190th St Ste 470, Gardena, CA 90248-4316 | 2015-06-04 |
| Find all providers with the same taxonomy | ||||
| City | COSTA MESA |
| Zip Code | 92626 |
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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.