ANNE MARIA LEISTIKOW
NPI 1063653459
Dental Hygienist in San Diego, CA

Q: What is Anne Leistikow's NPI number?

The NPI number for Anne Leistikow is 1063653459. It was assigned to this individual provider in the NPPES registry on March 13, 2009.

Q: What is Anne Leistikow's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Anne Leistikow was last updated on March 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 13, 2009

823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102(619) 515-2323(619) 232-1360 Get Directions Write a Review

NPPES record last updated: March 13, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Anne Maria Leistikow NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNE MARIA LEISTIKOW (NPI 1063653459) is an individual dental hygienist in San Diego, California, licensed in California (24079) and active in the NPI registry since March 2009.

NPPES Registry Identity

NPI1063653459

Entity TypeIndividualFemale

Primary Taxonomy124Q00000X

Provider Legal NameANNE MARIA LEISTIKOW

Location Address823 GATEWAY CENTER WAYSan Diego, CA 92102-4541

Mailing Address823 Gateway Center WaySan Diego, CA 92102-4541 · (619) 515-2323 · Fax (619) 232-1360

Phone(619) 515-2323

Fax(619) 232-1360

Sole ProprietorNo

Enumeration DateMarch 13, 2009

✔ NPI 1063653459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers

Taxonomy Code124Q00000X

License✔ Licensed in CA · 24079

Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.

823 GATEWAY CENTER WAY, San Diego, CA 92102

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Other Identifiers 1

OtherW5352CA · Upin

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN KERMOIAN YASZAY NP

Nurse Practitioner (Family)