LEBREOOT A PROFESSIONAL MEDICAL CORPORATION
NPI 1083306773
Registered Nurse - Wound Care in Beverly Hills, CA

Active since May 22, 2023
9171 WILSHIRE BLVD STE 500, BEVERLY HILLS, CA 90210(310) 331-0077(213) 582-8811 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 7, 2024, Jul 12, 2024, May 22, 2023 (3 updates tracked since 2023).

About Lebreoot A Professional Medical Corporation NPPES

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

LEBREOOT A PROFESSIONAL MEDICAL CORPORATION (NPI 1083306773) is a healthcare organization registered as a wound care in Beverly Hills, California and active in the NPI registry since May 2023. The organization maintains 2 additional practice locations and lists Joobin A Shemtov, Ceo, as its authorized official.

NPPES Registry Identity

NPI1083306773
Entity TypeOrganization
Primary Taxonomy163WW0000X
Legal Business NameLEBREOOT A PROFESSIONAL MEDICAL CORPORATION
Location Address9171 WILSHIRE BLVD STE 500Beverly Hills, CA 90210-5536
Mailing Address9171 Wilshire Blvd Ste 500Beverly Hills, CA 90210-5536 · (310) 331-0077 · Fax (213) 582-8811
Fax(213) 582-8811
Organization SubpartNo
Authorized OfficialJoobin A ShemtovCeo · (310) 999-7098
Enumeration DateMay 22, 2023
Last NPPES UpdateAugust 7, 20243 updates tracked since enumeration
NPPES CertifiedAugust 7, 2024
✔ NPI 1083306773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered Nurse · Wound CareNursing Service Providers
Taxonomy Code163WW0000X
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X
9171 WILSHIRE BLVD STE 500, Beverly Hills, CA 90210

Secondary Practice Locations 2

Location 1830 NE Holladay StPortland, OR 97232-2104 · Phone (310) 331-0077
Location 2255 S King St Ste 800Seattle, WA 98104-3318 · Phone (310) 331-0077

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lebreoot A Professional Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Lebreoot A Professional Medical Corporation, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Nurse Practitioner11
General Practice1

Clinicians, nearest first (12)

General Practice
NPI 1285700492
1125 S BEVERLY DR SUITE 601A
Los Angeles, CA 90035
(310) 556-8200
✔ PECOS0.8 mi
Nurse Practitioner
NPI 1003508607
5757 W CENTURY BLVD FL 6 STE 650R
Los Angeles, CA 90045
(888) 680-0863
✔ PECOS✔ Accepts Medicare8.4 mi
Nurse Practitioner
NPI 1699379107
19144 HARLISS ST
Northridge, CA 91324
(818) 614-4894
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1740753565
14659 OLIVE VIEW DR
Sylmar, CA 91342
(818) 485-0867
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1619418381
6556 CERRITOS AVE
Long Beach, CA 90805
(213) 248-5216
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1063157352
3063 W CHAPMAN AVE APT 3102
Orange, CA 92868
(714) 345-9551
✔ PECOS✔ Accepts Medicare35 mi
Nurse Practitioner
NPI 1184197691
12853 S 184TH AVE
Goodyear, AZ 85338
(503) 333-0174
✔ PECOS✔ Accepts Medicare346 mi
Nurse Practitioner
NPI 1598493009
16463 BOONES FERRY RD STE 300
Lake Oswego, OR 97035
(503) 658-9351
✔ PECOS✔ Accepts Medicare815 mi
Nurse Practitioner
NPI 1104835297
7914 SE MAIN ST
Portland, OR 97215
(503) 888-0390
✔ PECOS820 mi
Nurse Practitioner
NPI 1689266785
6800 SW 105TH AVE
Beaverton, OR 97008
(503) 430-1777
✔ PECOS✔ Accepts Medicare820 mi
Nurse Practitioner
NPI 1992296214
200 NE MOTHER JOSEPH PL STE 320
Vancouver, WA 98664
(360) 514-6300
✔ PECOS✔ Accepts Medicare828 mi
Nurse Practitioner
NPI 1003464157
35 MEMORIAL DR
Pinehurst, NC 28374
(910) 715-5901
✔ PECOS✔ Accepts Medicare2,206 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lebreoot A Professional Medical Corporation's NPI number?

The NPI number for Lebreoot A Professional Medical Corporation is 1083306773. It was assigned to this organization in the NPPES registry on May 22, 2023.

Where is Lebreoot A Professional Medical Corporation located?

Lebreoot A Professional Medical Corporation is located at 9171 Wilshire Blvd Ste 500, Beverly Hills, CA 90210. The listed phone number is (310) 331-0077.

What is Lebreoot A Professional Medical Corporation's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Wound Care, with taxonomy code 163WW0000X.

Is Lebreoot A Professional Medical Corporation enrolled in Medicare?

Yes. Lebreoot A Professional Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lebreoot A Professional Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 2 Medicare specialties reassign their Medicare billing to Lebreoot A Professional Medical Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (11) and General Practice (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lebreoot A Professional Medical Corporation was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.