DR. LEONARD GEORGE PRUTSOK M.D.
NPI 1588769830
Specialist in Orange, CA

Active since September 13, 2006PECOS Enrolled
1310 W STEWART DR, SUITE 214, ORANGE, CA 92868(714) 997-9078(714) 997-9771 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Leonard George Prutsok M.d. NPPES

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

DR. LEONARD GEORGE PRUTSOK M.D. (NPI 1588769830) is an individual specialist in Orange, California, licensed in California (G18825) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588769830
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. LEONARD GEORGE PRUTSOKCredential: M.D.
Location Address1310 W STEWART DR, SUITE 214Orange, CA 92868-3854
Mailing Address1310 W Stewart Dr, Suite 214Orange, CA 92868-3854 · (714) 997-9078 · Fax (714) 997-9771
Fax(714) 997-9771
Sole ProprietorYes
Enumeration DateSeptember 13, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1588769830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · G18825
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1310 W STEWART DR, Orange, CA 92868

Other Identifiers 1

Medicare UPINA90563CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Leonard George Prutsok M.d. 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.

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.

Specialist
1310 W STEWART DR, SUITE 510
ORANGE, CA 92868
Pediatrics (Pediatric Cardiology)
1310 W STEWART DR, SUITE 407
ORANGE, CA 92868
Marriage & Family Therapist
1310 W STEWART DR
ORANGE, CA 92868
Obstetrics & Gynecology
1310 W STEWART DR, SUITE 606
ORANGE, CA 92868
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
1310 W STEWART DR, SUITE 508
ORANGE, CA 92868
Clinic/Center (Ambulatory Surgical)
1310 W STEWART DR, STE. 610
ORANGE, CA 92868
Marriage & Family Therapist
1310 W STEWART DR, SUITE 301
ORANGE, CA 92868
Dentist (Prosthodontics)
1310 W STEWART DR, SUITE 202
ORANGE, CA 92868

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 Leonard Prutsok's NPI number?

The NPI number for Leonard Prutsok is 1588769830. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Leonard Prutsok located?

Leonard Prutsok practices at 1310 W Stewart Dr Suite 214, Orange, CA 92868. The listed phone number is (714) 997-9078.

What is Leonard Prutsok's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Leonard Prutsok enrolled in Medicare?

Yes. Leonard Prutsok is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Leonard Prutsok was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.