GARY JORDAN LEEDS MD NPI 1417930967

NPI Information

  • NPI: 1417930967
  • Provider Name: GARY JORDAN LEEDS, MD
  • Classification: Internal Medicine - 207RP1001X
  • Specialization: Pulmonary Disease
  • Entity Type: Individual
  • Address: 3111 PROFESSIONAL DR
    AUBURN, CA
    ZIP 95603
  • Phone: (530) 885-5618

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NPI Details

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
1207RP1001XInternal MedicinePulmonary DiseaseA043004CALIFORNIAYes

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
1F12525MEDICARE UPINCALIFORNIA
200A430040MEDICARE ID-TYPE UNSPECIFIED
300A430040MEDICARE PINCALIFORNIA
400A430040OTHERCALIFORNIAMEDI-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: 11/21/2025

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