Holly Lorraine Leo (NPI# 1467663666, PAC ID# 2163727157) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1467663666 |
| PAC ID by PECOS | 2163727157 |
| Professional Enrollment ID | I20170328002844 |
| Full Name | Holly Lorraine Leo |
| Organization Legal Name | ST JOSEPH HERITAGE HEALTHCARE |
| Address |
1095 Irvine Blvd Tustin CA 92780-3526 |
| Phone Number | 7145057110 |
| Gender | F |
| Medical School | UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8921993205 |
| Number of Group Practice Members | 1049 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050224 | HOAG MEMORIAL HOSPITAL PRESBYTERIAN |
| 050069 | ST JOSEPH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2501 E Chapman Ave, Orange, CA 92869-3204 | 7146331011 | ST JOSEPH HERITAGE HEALTHCARE |
| 1095 Irvine Blvd, Tustin, CA 92780-3526 | 7145057110 | ST JOSEPH HERITAGE HEALTHCARE |
| Organization Legal Name | ST JOSEPH HERITAGE HEALTHCARE |
| Physicians | 1022 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tarah N Nelson | Nurse Practitioner | St Joseph Heritage Healthcare | 2460 Buhne St, Eureka, CA 95501-3207 |
| Kristen Shay Rasnick | Nurse Practitioner | St Joseph Heritage Healthcare | 6580 Hembree Ln, Suite 270, Windsor, CA 95492-6885 |
| Basit Rahim | Neurology | St Joseph Heritage Healthcare | 26800 Crown Valley Pkwy, Suite 385, Mission Viejo, CA 92691-7320 |
| Elizabeth Wachtel O'brien | Certified Nurse Midwife (cnm) | St Joseph Heritage Healthcare | 3307 Renner Dr, Fortuna, CA 95540-3119 |
| Michael James Glamore | Urology | St Joseph Heritage Healthcare | 1701 4th St, Suite 200, Santa Rosa, CA 95404-3661 |
| Teresa E Shields-szabo | Family Medicine | St Joseph Heritage Healthcare | 26795 Portola Pkwy, Foothill Ranch, CA 92610-1713 |
| Austin James Perkins | Physician Assistant | St Joseph Heritage Healthcare | 100 E Valencia Mesa Dr, Suite 105, Fullerton, CA 92835-3816 |
| Sherin Ann Chakkalakel | Nurse Practitioner | St Joseph Heritage Healthcare | 905 E Washington St, St Joseph Heritage Healthcare, Petaluma, CA 94952-3389 |
| Jamie Lea Meyer | Nurse Practitioner | St Joseph Heritage Healthcare | 2332 23rd St, Eureka, CA 95501-3231 |
| Laura Elizabeth Hall | Nurse Practitioner | St Joseph Heritage Healthcare | 2280 Harrison Ave, Suite K, Eureka, CA 95501-3200 |
| Street Address |
1095 IRVINE BLVD |
| City | TUSTIN |
| State | CA |
| Zip | 92780-3526 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fouzia Asif | Family Medicine | St Joseph Heritage Healthcare | 1095 Irvine Blvd, Tustin, CA 92780-3526 |
| Diane Kim | Internal Medicine | St Joseph Heritage Healthcare | 1095 Irvine Blvd, Tustin, CA 92780-3526 |
| Victoria L Leigh | Internal Medicine | St Joseph Heritage Healthcare | 1095 Irvine Blvd, Tustin, CA 92780-3526 |
| Jennifer Rachael Surgener | Nurse Practitioner | St Joseph Heritage Healthcare | 1095 Irvine Blvd, Tustin, CA 92780-3526 |
| David C Pan | Cardiovascular Disease (cardiology) | St Joseph Heritage Healthcare | 1095 Irvine Blvd, Tustin, CA 92780-3526 |
| Chesda Eng | Internal Medicine | St Joseph Heritage Healthcare | 1095 Irvine Blvd, Tustin, CA 92780-3526 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Asmea Judeh | Physical Therapy | Coury and Buehler Physical Therapy - Tustin/santa Ana, Inc. | 13931 Carroll Way, Suite B, Tustin, CA 92780-1861 |
| Jordan L Mayo | Physical Therapy | Coury and Buehler Physical Therapy - Tustin/santa Ana, Inc. | 13931 Carroll Way, Suite B, Tustin, CA 92780-1861 |
| Diego A Kim | Physical Therapy | Coury and Buehler Physical Therapy - Tustin/santa Ana, Inc. | 13931 Carroll Way, Suite B, Tustin, CA 92780-1861 |
| Scott A Locken | Physical Therapy | Coury and Buehler Physical Therapy - Tustin/santa Ana, Inc. | 13931 Carroll Way, Suite B, Tustin, CA 92780-1861 |
| Jessica M Slette | Physical Therapy | Coury and Buehler Physical Therapy - Tustin/santa Ana, Inc. | 13931 Carroll Way, Suite B, Tustin, CA 92780-1861 |
| Robert J Grant | Physical Therapy | Coury and Buehler Physical Therapy - Tustin/santa Ana, Inc. | 13931 Carroll Way, Suite B, Tustin, CA 92780-1861 |
| Shannon R Lee | Physical Therapy | Coury and Buehler Physical Therapy - Tustin/santa Ana, Inc. | 13931 Carroll Way, Suite B, Tustin, CA 92780-1861 |
| Mike Kelly | Nurse Practitioner | Alliance Psychiatric Group Inc A Medical Corporation | 17601 17th St, Suite 120, Tustin, CA 92780-1946 |
| Moses Morar | Nurse Practitioner | Alliance Psychiatric Group Inc A Medical Corporation | 17601 17th St, Suite 120, Tustin, CA 92780-1946 |
| Alexander Tyler Elson | Optometry | 17th Street Optometry Apc | 17300 17th St, Suite M, Tustin, CA 92780-1955 |
| Find all physicians in zip 92780 | |||
| City | TUSTIN |
| Zip Code | 92780 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | TUSTIN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Holly Lorraine Leo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.