GARY JORDAN LEEDS MD NPI 1417930967

NPI Information

NPI: 1417930967
Provider Name: GARY JORDAN LEEDS, MD
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

Address:
3111 PROFESSIONAL DR
AUBURN, CA
ZIP 95603
Phone: (530) 885-5618
Get Directions

Gary Jordan Leeds, MD is a pulmonary disease internal medicine in Auburn, CA. The provider is 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. Gary Jordan Leeds, MD NPI is 1417930967. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3111 PROFESSIONAL DR
AUBURN, CA
ZIP 95603-456
Phone: (530) 885-5618

The enumeration date for this NPI number is 11/29/2005 and was last updated on 11/16/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RP1001X	Internal Medicine	Pulmonary Disease	A043004	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	F12525	MEDICARE UPIN	CALIFORNIA
2	00A430040	MEDICARE ID-TYPE UNSPECIFIED
3	00A430040	MEDICARE PIN	CALIFORNIA
4	00A430040	OTHER	CALIFORNIA	MEDI-CAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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