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LEILA BOLANDGRAY, M.D. INC.
NPI 1619154689
Internal Medicine in La Mesa, CA

Active since January 22, 2008
5555 GROSSMONT CENTER DR, LA MESA, CA 91942(619) 937-6349(866) 313-8916 Get Directions Write a Review

NPPES record last updated: January 22, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Leila Bolandgray, M.d. Inc. NPPES

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

LEILA BOLANDGRAY, M.D. INC. (NPI 1619154689) is a healthcare organization registered as an internal medicine in La Mesa, California and active in the NPI registry since January 2008. The organization lists Leila Sofia Bolandgray, President, as its authorized official.

NPPES Registry Identity

NPI1619154689
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLEILA BOLANDGRAY, M.D. INC.
Location Address5555 GROSSMONT CENTER DRLa Mesa, CA 91942-3019
Mailing AddressPo Box 2775La Mesa, CA 91943-2775 · (619) 937-6349 · Fax (866) 313-8916
Phone(619) 937-6349
Fax(866) 313-8916
Organization SubpartNo
Authorized OfficialLeila Sofia BolandgrayPresident · (619) 937-6349
Enumeration DateJanuary 22, 2008
✔ NPI 1619154689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A72176
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5555 GROSSMONT CENTER DR, La Mesa, CA 91942
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Other Identifiers 1

Medicare UPINH44313CA

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)

Leila Bolandgray, M.d. Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Leila Bolandgray, M.D. Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Leila Bolandgray, M.D.
Internal Medicine
NPI 1093931727
5555 GROSSMONT CENTER DR
La Mesa, CA 91942
(619) 937-6349
✔ PECOS✔ Accepts MedicareSame address

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 Leila Bolandgray, M.D. Inc.'s NPI number?

The NPI number for Leila Bolandgray, M.D. Inc. is 1619154689. It was assigned to this organization in the NPPES registry on January 22, 2008.

Where is Leila Bolandgray, M.D. Inc. located?

Leila Bolandgray, M.D. Inc. is located at 5555 Grossmont Center Dr, La Mesa, CA 91942. The listed phone number is (619) 937-6349.

What is Leila Bolandgray, M.D. Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Leila Bolandgray, M.D. Inc. enrolled in Medicare?

Yes. Leila Bolandgray, M.D. Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Leila Bolandgray, M.D. Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Leila Bolandgray, M.D. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Leila Bolandgray, M.D. Inc. was last updated on January 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.