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LEIA RISPOLI MD, INC.
NPI 1164183331
Physical Medicine & Rehabilitation - Pain Medicine in Marina Del Rey, CA

Active since January 10, 2022
4551 GLENCOE AVE STE 145, MARINA DEL REY, CA 90292(310) 405-0595(310) 997-2766 Get Directions Write a Review

NPPES record last updated: June 9, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 9, 2023, Jan 10, 2022 (2 updates tracked since 2022).

About Leia Rispoli Md, Inc. NPPES

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

LEIA RISPOLI MD, INC. (NPI 1164183331) is a healthcare organization registered as a pain medicine in Marina Del Rey, California and active in the NPI registry since January 2022. The organization lists Leia Rispoli, Owner, as its authorized official.

NPPES Registry Identity

NPI1164183331
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameLEIA RISPOLI MD, INC.
Location Address4551 GLENCOE AVE STE 145Marina Del Rey, CA 90292-6385
Mailing AddressPo Box 3129Torrance, CA 90510-3129 · (310) 792-3914 · Fax (855) 898-4055
Phone(310) 405-0595
Fax(310) 997-2766
Organization SubpartNo
Authorized OfficialLeia RispoliOwner · (310) 405-0595
Enumeration DateJanuary 10, 2022
Last NPPES UpdateJune 9, 20232 updates tracked since enumeration
NPPES CertifiedJune 9, 2023
✔ NPI 1164183331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
4551 GLENCOE AVE STE 145, Marina Del Rey, CA 90292
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Other Names 1

Doing Business AsLeia Rispoli Md, Inc.

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Leia Rispoli Md, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Leia Rispoli MD, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Leia Rispoli, M.D.
Physical Medicine and Rehabilitation
NPI 1679993406
4551 GLENCOE AVE STE 145
Marina Del Rey, CA 90292
(310) 405-0595
✔ PECOS✔ Accepts MedicareSame address
Natasha Mehta, M.D.
Physical Medicine and Rehabilitation
NPI 1417377706
4551 GLENCOE AVE STE 145
Marina Del Rey, CA 90292
(310) 997-2766
✔ PECOS✔ Accepts MedicareSame address
Jacob Hattenbach, DO
Physical Medicine and Rehabilitation
NPI 1184184244
2021 SANTA MONICA BLVD STE 200E
Santa Monica, CA 90404
(323) 709-3657
✔ PECOS✔ Accepts Medicare4.0 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 Leia Rispoli MD, Inc.'s NPI number?

The NPI number for Leia Rispoli MD, Inc. is 1164183331. It was assigned to this organization in the NPPES registry on January 10, 2022.

Where is Leia Rispoli MD, Inc. located?

Leia Rispoli MD, Inc. is located at 4551 Glencoe Ave Ste 145, Marina Del Rey, CA 90292. The listed phone number is (310) 405-0595.

What is Leia Rispoli MD, Inc.'s specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Leia Rispoli MD, Inc. enrolled in Medicare?

Yes. Leia Rispoli MD, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Leia Rispoli MD, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Physical Medicine and Rehabilitation, reassign their Medicare billing to Leia Rispoli MD, Inc.. 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. Of these, 2 practice at this address and 3 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 Leia Rispoli MD, Inc. was last updated on June 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.