Mr Jesus Leyva, is a medicare enrolled "Psychologist - Clinical" provider in Torrance, California. His current practice location is
4025 W 226th St, Torrance, California. You can reach out to his office (for appointments etc.) via phone at
(310) 373-4556.
Mr Jesus Leyva is licensed to practice in California (license number 32495) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093950982.
Healthcare Provider's Profile
| Full Name | Mr Jesus Leyva |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 4025 W 226th St, Torrance, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1093950982
- Provider Enumeration Date: 12/08/2008
- Last Update Date: 01/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 0840665386
- Enrollment ID: I20230414000021
Medical Identifiers
Medical identifiers for Mr Jesus Leyva such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1093950982 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 32495 (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Jesus Leyva allows following entities to bill medicare on his behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678 |
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| Entity Name | Brainpower Wellness Institute Nursing Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528573615
PECOS PAC ID: 3072840586
Enrollment ID: O20190806004155 |
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| Entity Name | Integrated Psychological Assessment Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750926374
PECOS PAC ID: 2769871268
Enrollment ID: O20211122001207 |
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| Entity Name | Grow Healthcare Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154994846
PECOS PAC ID: 1850774746
Enrollment ID: O20220809004080 |
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| Entity Name | Amygdala Medical Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386324267
PECOS PAC ID: 3577910421
Enrollment ID: O20231114002865 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jesus Leyva is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Mr Jesus Leyva,
4025 W 226th St,
Torrance, CA 90505-2340
Ph: (310) 373-4556 | Mr Jesus Leyva,
4025 W 226th St,
Torrance, CA 90505-2340
Ph: (310) 373-4556 |
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