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DR. VADIM LEYENSON MD NPI 1427052851


NPI Information

NPI: 1427052851
Provider Name: DR. VADIM LEYENSON, MD
Classification: Internal Medicine - 207RC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

PECOS Registration: Yes

Address:
95 MONTGOMERY DR STE 104
SANTA ROSA, CA
ZIP 95404
Phone: (707) 525-2902
Get Directions

DR. Vadim Leyenson, MD is a critical care medicine internal medicine in Santa Rosa, CA with 38 years of experience. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. DR. Vadim Leyenson, MD NPI is 1427052851. 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:

95 MONTGOMERY DR STE 104
SANTA ROSA, CA
ZIP 95404-617
Phone: (707) 525-2902
Fax: (707) 525-2904

The NPI 1427052851 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/13/2005 and was last updated on 8/29/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0200XInternal MedicineCritical Care MedicineMC-1352IDAHONo
2207RC0200XInternal MedicineCritical Care Medicine522342CALIFORNIANo
3207RP1001XInternal MedicinePulmonary DiseaseMD184074OREGONNo
4207RP1001XInternal MedicinePulmonary Disease522342CALIFORNIANo
5207RS0012XInternal MedicineSleep Medicine1107CALIFORNIANo
6207RC0200XInternal MedicineCritical Care MedicineMD184074OREGONYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C154059OTHERCALIFORNIASTATE MEDICAL LICENSE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.