DR. DMITRY LEONOV (NPI# 1740655620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740655620 |
Entity Type | Individual |
Full Name | DR. DMITRY LEONOV |
Credential | PHRAM.D. |
Practice Address |
4601 Dale Rd Modesto CA 95356-9718 |
Mailing Address |
3401 Grande Vista Dr Ste 725 Newbury Park CA 91320-1131 |
Practice Telephone | 2097355000 |
Practice Fax Number | 2098252405 |
Mailing Telephone | 7477770023 |
Enumeration Date | 2015-12-03 |
Last Update Date | 2015-12-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
18108 | NV | Pharmacy Service Providers |
Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
63653 | CA | Pharmacy Service Providers |
Street Address |
4601 DALE RD |
City | MODESTO |
State | CA |
Zip Code | 95356-9718 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912998311 | Stephen Matthew Willey | Physical Therapist | 4601 Dale Rd, Modesto, CA 95356 | 2005-11-03 |
1760098263 | Paola Ramirez | Behavior Technician | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-09-20 |
1538772678 | Roy Choi | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-08-28 |
1730797499 | Donna Cruz | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-07-20 |
1538777487 | Kyle Wesley Hopson | Physical Therapist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-07-16 |
1376176313 | Su Jin Yeo | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-02-18 |
1972135580 | Tran Huyen Smernes | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-02-11 |
1740827534 | Evelyn Kwong | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2019-11-29 |
1467000463 | Oanh Hoang Nguyen Phan | Nurse Practitioner | 4601 Dale Rd, Modesto, CA 95356-9718 | 2019-09-03 |
1598311227 | Janine Grace Lastimosa Tennant | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2019-08-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649809021 | Amelia E Delgadillo | Licensed Vocational Nurse | 501 Triangle Rd, Modesto, CA 95356 | 2020-04-07 |
1689220279 | Meagan Veneman | Physical Medicine & Rehabilitation | 125 Hogue Rd, Modesto, CA 95356 | 2019-08-10 |
1497131213 | Hermes Guardian Transport | Non-emergency Medical Transport (VAN) | 4221 Erin Way, Modesto, CA 95356 | 2015-08-04 |
1811373640 | Melissa Ruiz | Marriage & Family Therapist | 5815 Stoddard Rd Suite 600, Modesto, CA 95356 | 2015-08-04 |
1922242866 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 500 Glass Ln Ste H, Modesto, CA 95356 | 2009-04-22 |
1659541647 | Ashley Allison Streeter | Dentist | 556 Lyell Dr, Modesto, CA 95356 | 2008-03-05 |
1265636013 | Margaret Kathleen Grisell | Orthopaedic Surgery | 4601 Dale Ave, Kaiser Modesto Medical Center, Orthopedic Surgery, Modesto, CA 95356 | 2007-06-14 |
1841412111 | Bobby Gene Boswell | Specialist/Technologist | 3908 Vintage Cove, Modesto, CA 95356 | 2007-05-03 |
1598892861 | Merritt Radiological Medical Group Inc | Radiology | 526 Charity Way, Modesto, CA 95356 | 2007-02-27 |
1396871091 | Michael Steven Beck | Social Worker | 4640 Spyres Way, Building B, Suite 7, Modesto, CA 95356 | 2007-02-26 |
Find all providers in zip 95356 |
Taxonomy Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972135580 | Tran Huyen Smernes | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2020-02-11 |
1609349703 | Ankit Parikh | Pharmacist | 1114 6th St, Modesto, CA 95354-2203 | 2019-01-10 |
1255818688 | Siona Margaret Emerson | Pharmacist | 4601 Dale Rd, Modesto, CA 95356 | 2018-07-27 |
1346660784 | Kristi Hayden | Pharmacist | 1225 Oakdale Rd, Modesto, CA 95355-3357 | 2014-04-24 |
1124396437 | Sumanjeet Kaur Sahi | Pharmacist | 2101 E Hatch Rd, Modesto, CA 95351-4814 | 2011-12-01 |
1275819476 | Alan Gene Del Nero | Pharmacist | 2101 E Hatch Rd, Modesto, CA 95351-4814 | 2011-11-01 |
1114164159 | Kaity M. Chan | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2009-01-13 |
1518104868 | Devaughn Jones | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2009-01-08 |
1851544464 | Lynn Riley | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2008-10-28 |
1831355650 | Brian Lee Johnson | Pharmacist | 4601 Dale Rd, Modesto, CA 95356-9718 | 2008-07-31 |
Find all providers in MODESTO |
Please comment or provide details below to improve the information on DR. DMITRY LEONOV.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.