GARY JORDAN LEEDS (NPI# 1417930967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417930967 |
| Entity Type | Individual |
| Full Name | GARY JORDAN LEEDS |
| Credential | MD |
| Practice Address |
3111 Professional Dr Auburn CA 95603-2456 |
| Mailing Address |
3754 Copper Penny Ln Auburn CA 95602-9276 |
| Practice Telephone | 5308855618 |
| Mailing Telephone | 5308898659 |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2007-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
A043004 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | 00A430040 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316005036 | Gary Edwin Leeds | Family Medicine | 22 W 15th St, New York, NY 10011-6842 | 2006-12-05 |
| Street Address |
3111 PROFESSIONAL DR |
| City | AUBURN |
| State | CA |
| Zip Code | 95603-2456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336627546 | Western Sierra Medical Clinic, Inc. | Clinic/Center | 3111 Professional Dr, Auburn, CA 95603 | 2018-07-31 |
| 1750300067 | Daniel Merck | Internal Medicine | 3111 Professional Dr, Auburn, CA 95603-2456 | 2006-07-18 |
| 1134158926 | Apeet Hundal | Internal Medicine | 3111 Professional Dr, Auburn, CA 95603-2456 | 2006-07-02 |
| 1982684528 | Regents of The University of Ca | Clinic/Center | 3111 Professional Dr, Auburn, CA 95603-2456 | 2006-01-19 |
| 1649256140 | Narges Shariati Varnosfaderani | Internal Medicine | 3111 Professional Dr, Auburn, CA 95603-2456 | 2005-12-16 |
| 1417933110 | Lars Jakob Jakobsen | Internal Medicine | 3111 Professional Dr, Auburn, CA 95603-2456 | 2005-12-15 |
| 1306821566 | Guadalupe Avila-kirwan | Internal Medicine | 3111 Professional Dr, Auburn, CA 95603-2456 | 2005-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487271508 | James Robert Thornton | Social Worker | 398 Rhoes View Dr, Auburn, CA 95603 | 2020-07-06 |
| 1437713674 | June Meja Razzano | Psychoanalyst | 265 Nevada Station, Auburn, CA 95603 | 2019-04-23 |
| 1689175366 | Georgia Lee Bates | Speech-Language Pathologist | 2145 Bell Road, 215, Auburn, CA 95603 | 2018-02-27 |
| 1811406085 | Veronica Evette Magana | Specialist | 11485 C Ave, Auburn, CA 95603 | 2017-09-20 |
| 1043733777 | Ken Rescate | Physical Therapist | 2145 Bell Road, #215, Auburn, CA 95603 | 2017-07-25 |
| 1730534975 | Juanita Carey | Counselor | 1190 Heritage Oak Place, Auburn, CA 95603 | 2016-04-25 |
| 1255747010 | Cara Wilber | Marriage & Family Therapist | 11512 B Avenure, Auburn, CA 95603 | 2014-07-01 |
| 1538572094 | Mark Garrison | Pharmacist | 13386 Lincoln Way, Auburn, CA 95603 | 2014-06-03 |
| 1427460583 | Tessa Jacques | Marriage & Family Therapist | 263 Nevada Station, Auburn, CA 95603 | 2014-05-23 |
| 1629497359 | Elisabeth Ann Neubert-cook | Registered Nurse | 11484 B. Avenue, Auburn, CA 95603 | 2014-04-09 |
| Find all providers in zip 95603 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437353562 | Christine J. Healey | Internal Medicine | 77 Nelson St Ste 220, Auburn, NY 13021-1944 | 2007-06-13 |
| 1922238120 | Mohammad Bilal Ashraf | Internal Medicine | 77 Nelson St, Suite #240, Auburn, NY 13021-1944 | 2009-07-22 |
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| 1184221137 | Newport Superior Medical & Infusion Inc | Internal Medicine | 1501 Superior Ave Ste 111, Newport Beach, CA 92663-3661 | 2020-10-02 |
| 1205472339 | Christian Gronbeck IIi | Internal Medicine | 37 E Mission Ave, San Rafael, CA 94901-4208 | 2019-11-25 |
| 1497304497 | Ralph Zitnik | Internal Medicine | 606 E Valerio St, Santa Barbara, CA 93103-1954 | 2019-09-11 |
| 1578118295 | Adventist Health Physicians Network | Internal Medicine | 1231 W Vine St Ste 19, Lodi, CA 95240-5109 | 2019-08-08 |
| 1063079176 | Kasra Sedarati M.d. Inc. | Internal Medicine | 325 N Maple Dr Unit 1863, Beverly Hills, CA 90213-4754 | 2019-05-23 |
| 1124586367 | Coast Concierge Medicine Inc | Internal Medicine | 31852 Coast Hwy Ste 201, Laguna Beach, CA 92651-6765 | 2019-03-06 |
| 1801373352 | Antelope Valley Lung & Sleep Institute, Inc | Internal Medicine | 1331 W Avenue J Ste 101, Lancaster, CA 93534-2942 | 2018-07-26 |
| 1659864338 | Orange County Respiratory Physicians Corp | Internal Medicine | 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 | 2018-06-07 |
| 1841780301 | San Joaquin Critical Care Medical Group, Inc. | Internal Medicine | 1801 E March Ln Ste C300, Stockton, CA 95210-6657 | 2018-05-10 |
| 1912408691 | Northern California Medical Assoc | Internal Medicine | 2315 Dean St, Eureka, CA 95501-3208 | 2018-02-27 |
| Find all providers with the same taxonomy | ||||
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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.