LEAH GAITHO PMHNP/FNP
Complete NPI Record 1194355107
Nurse Practitioner - Psychiatric/Mental Health in Folsom, CA

Active since January 17, 2020PECOS EnrolledAccepts Medicare Assignment

510 PLAZA DR STE 170, FOLSOM, CA 95630(916) 351-9400(916) 351-9449 Get Directions

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 19, 2026, Nov 11, 2025, Jan 12, 2023 and 1 more (4 updates tracked since 2020).

Complete NPI Dataset

This page contains the complete raw NPPES record for Leah Gaitho, PMHNP/FNP (NPI 1194355107), an individual nurse practitioner provider in Folsom, CA. All 36 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.

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Registry File Document Utilities

NPI: 1194355107: The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code: 1: Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Last Name Legal Name: GAITHO: The last name of the provider. If the provider is an individual, this is the legal name.
Provider First Name: LEAH: The first name of the provider, if the provider is an individual.
Provider Credential Text: PMHNP/FNP: The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
Provider First Line Business Mailing Address: 510 PLAZA DR STE 170: The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City Name: FOLSOM: The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: CA: The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code: 956304790: The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Country Code If outside U S : US: The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
Provider Business Mailing Address Telephone Number: 9163519400: The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number: 9163519449: The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Provider First Line Business Practice Location Address: 510 PLAZA DR STE 170: The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: FOLSOM: The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: CA: The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 956304790: The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US: The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 9163519400: The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number: 9163519449: The fax number associated with the location address of the provider being identified.
Provider Enumeration Date: 1/17/2020: The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 6/22/2026: The date that a record was last updated or changed.
Provider Gender Code: F: The code designating the provider's gender if the provider is a person.
Healthcare Provider Taxonomy Code 1: 363LF0000X: This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 1: 828160: The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
Provider License Number State Code 1: NV: The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
Healthcare Provider Primary Taxonomy Switch 1: N: This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Healthcare Provider Taxonomy Code 2: 363LP0808X: This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 2: 828160: The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
Provider License Number State Code 2: NV: The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
Healthcare Provider Primary Taxonomy Switch 2: Y: This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
Other Provider Identifier 1: 20-2018638: An additional identifier number for the provider, either current or previously used. This may include IDs issued by health plans, state agencies, or other organizations. The value is collected from the NPI application or update form.
Other Provider Identifier Type Code 1: 01: A code that specifies the type of additional identifier associated with the provider, either current or past. Examples include UPIN (Universal Provider Identification Number), NSC (National Supplier Clearinghouse), OSCAR (CMS Certification Number), DEA (Drug Enforcement Administration number), state Medicaid ID, or a plan-specific PIN. The value is collected from the NPI application or update form.
Other Provider Identifier State 1: NV: The two-letter state code representing the U.S. state or territory that issued the additional provider identifier. This links the Other Provider Identifier to the state where it is valid or was assigned.
Other Provider Identifier Issuer 1: OTHER: The name of the organization, agency, or health plan that assigned the additional provider identifier. This identifies who issued the number linked to Other Provider Identifier 1 (for example, a state Medicaid agency, Medicare, or a private insurance company).
Is Sole Proprietor: Y: Indicates whether the provider is registered as a sole proprietor. This is a single-character code: "Y" means the provider operates as a sole proprietor, and "N" means they do not.
NPI Certification Date: 6/22/2026: The date on which the National Provider Identifier (NPI) was officially assigned and certified to the provider. This reflects when the provider's NPI record first became active in the NPPES system.

Secondary Practice Locations 34

The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.

509 13th St Ste 8

1/34

Modesto, CA 95354-2444 · Phone (916) 351-9400 · Fax (916) 351-9449

2222 Pacific Ave

2/34

Stockton, CA 95204-5334 · Phone (916) 351-9400 · Fax (916) 351-9449

2008 W Dorothea Ave Ste 203

3/34

Visalia, CA 93277-7300 · Phone (916) 351-9400 · Fax (916) 351-9449

6605 Grand Montecito Pkwy

4/34

Las Vegas, NV 89149-0210 · Phone (702) 867-6077 ext. 65293 · Fax (808) 480-7590

15720 Ventura Blvd Ste 210

5/34

Encino, CA 91436-2954 · Phone (916) 351-9400 · Fax (916) 351-9449

1501 W Cameron Ave Ste 300-129

6/34

West Covina, CA 91790-2724 · Phone (916) 351-9400 · Fax (916) 351-9449

7365 Carnelian St Ste 222F

7/34

Rancho Cucamonga, CA 91730-1157 · Phone (916) 351-9400 · Fax (916) 351-9449

169 Hartnell Ave Ste 110

8/34

Redding, CA 96002-1849 · Phone (916) 351-9400 · Fax (916) 351-9449

3711 Long Beach Blvd Ste 4045

9/34

Long Beach, CA 90807-3320 · Phone (916) 351-9400 · Fax (916) 351-9449

414 W 21st St

10/34

Merced, CA 95340-3718 · Phone (916) 351-9400 · Fax (916) 351-9449

1825 N Oxnard Blvd Ste 19

11/34

Oxnard, CA 93030-3503 · Phone (916) 351-9400 · Fax (916) 351-9449

30 E San Joaquin St Ste 203B

12/34

Salinas, CA 93901-2947 · Phone (916) 351-9400 · Fax (916) 351-9449

634 H St

13/34

Eureka, CA 95501-1053 · Phone (916) 351-9400 · Fax (916) 351-9449

355 W Olive Ave Ste 3

14/34

El Centro, CA 92243-3043 · Phone (916) 351-9400 · Fax (916) 351-9449

55 Hitchcock Way Ste 209

15/34

Santa Barbara, CA 93105-5635 · Phone (916) 351-9400 · Fax (916) 351-9449

888 4th St Ste 12

16/34

San Rafael, CA 94901-3284 · Phone (916) 351-9400 · Fax (916) 351-9449

1254 Mission St Ste 220

17/34

San Francisco, CA 94103-2706 · Phone (916) 351-9400 · Fax (916) 351-9449

1040 Park Ave Ste 200-A

18/34

San Jose, CA 95126-3075 · Phone (916) 351-9400 · Fax (916) 351-9449

225 W Hospitality Ln # 225201P

19/34

San Bernardino, CA 92408-3237 · Phone (916) 351-9400 · Fax (916) 351-9449

7177 Brockton Ave Ste 444A

20/34

Riverside, CA 92506-2635 · Phone (916) 351-9400 · Fax (916) 351-9449

2440 Professional Dr

21/34

Roseville, CA 95661-7773 · Phone (916) 351-9400 · Fax (916) 351-9449

2062 Talbert Dr Ste 100

22/34

Chico, CA 95928-7718 · Phone (916) 351-9400 · Fax (916) 351-9449

622 Jackson St Unit 103

23/34

Fairfield, CA 94533-6195 · Phone (916) 351-9400 · Fax (916) 351-9449

9381 E Stockton Blvd Ste 220

24/34

Elk Grove, CA 95624-5070 · Phone (916) 351-9400 · Fax (916) 351-9449

4025 N Fresno St

25/34

Fresno, CA 93726-4026 · Phone (916) 351-9400 · Fax (916) 351-9449

44240 Fremont Blvd

26/34

Fremont, CA 94538-6000 · Phone (916) 351-9400 · Fax (916) 351-9449

2345 Fletcher Pkwy

27/34

El Cajon, CA 92020-2134 · Phone (916) 351-9400 · Fax (916) 351-9449

1101 Maidu Dr

28/34

Auburn, CA 95603-5864 · Phone (916) 351-9400 · Fax (916) 351-9449

2386 Fair Oaks Blvd

29/34

Sacramento, CA 95825-4741 · Phone (916) 351-9400 · Fax (916) 351-9449

1245 W 6th St

30/34

Corona, CA 92882-1870 · Phone (916) 351-9400 · Fax (916) 351-9449

1372 N Main St Ste 206-1

31/34

Walnut Creek, CA 94596-4692 · Phone (916) 351-9400 · Fax (916) 351-9449

5441 Aldrin Ct Ste A

32/34

Bakersfield, CA 93313-2194 · Phone (916) 351-9400 · Fax (916) 351-9449

2955 Main St Ste 110-K

33/34

Irvine, CA 92614-5909 · Phone (916) 351-9400 · Fax (916) 351-9449

3200 4th Ave Ste 200G

34/34

San Diego, CA 92103-5716 · Phone (916) 351-9400 · Fax (916) 351-9449

Other Provider Identifiers 1

Legacy and payer-issued identifiers reported to the NPPES registry for this provider.

20-2018638 Other

1/1

State: NV · Issuer: Other
Other: An additional provider identifier that does not correspond to any of the other defined identifier type categories.

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