LEESA LI-FOSSUM MD
NPI 1528696127
Pediatrics in Chula Vista, CA

Active since March 30, 2020PECOS Enrolled
971 LANE AVE, CHULA VISTA, CA 91914(619) 502-7300 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 20, 2023, Sep 16, 2020, Mar 30, 2020 (3 updates tracked since 2020).

About Leesa Li-fossum Md NPPES

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

LEESA LI-FOSSUM MD (NPI 1528696127) is an individual pediatrics provider in Chula Vista, California, licensed in California (A184625) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528696127
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameLEESA LI-FOSSUMCredential: MD
Location Address971 LANE AVEChula Vista, CA 91914-3501
Mailing Address10790 Rancho Bernardo RdSan Diego, CA 92127-5705 · (619) 502-7300
Sole ProprietorNo
Enumeration DateMarch 30, 2020
Last NPPES UpdateJuly 20, 20233 updates tracked since enumeration
NPPES CertifiedJuly 20, 2023
NPI 1528696127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in CA · A184625
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

971 LANE AVE, Chula Vista, CA 91914

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Leesa Li-fossum Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91914 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

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

Physician Assistant
971 LANE AVE
CHULA VISTA, CA 91914
Nurse Practitioner (Family)
971 LANE AVE
CHULA VISTA, CA 91914
Nurse Practitioner (Family)
971 LANE AVE
CHULA VISTA, CA 91914
Internal Medicine
971 LANE AVE
CHULA VISTA, CA 91914
Nurse Practitioner
971 LANE AVE
CHULA VISTA, CA 91914
Nurse Practitioner (Family)
971 LANE AVE
CHULA VISTA, CA 91914
Family Medicine
971 LANE AVE
CHULA VISTA, CA 91914
Internal Medicine
971 LANE AVE
CHULA VISTA, CA 91914

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528696127, enumerated as an "individual" on March 30, 2020.

The provider is located at 971 LANE AVE CHULA VISTA, CA 91914 and the phone number is (619) 502-7300.

Pediatrics with taxonomy code 208000000X.