LINDY M LEGOH
NPI 1629822812
Nurse Practitioner - Family in Grand Terrace, CA

Active since April 15, 2024PECOS EnrolledAccepts Medicare Assignment
11819 GREENBRIER LN, GRAND TERRACE, CA 92313(909) 965-6560 Get Directions Write a Review

NPPES record last updated: December 28, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 28, 2025, Apr 15, 2024 (2 updates tracked since 2024).

About Lindy M Legoh NPPES

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

LINDY M LEGOH (NPI 1629822812) is an individual family provider in Grand Terrace, California, licensed in California (95035976) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1629822812
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLINDY M LEGOH
Location Address11819 GREENBRIER LNGrand Terrace, CA 92313-8342
Mailing Address11819 Greenbrier LnGrand Terrace, CA 92313-8342
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 15, 2024
Last NPPES UpdateDecember 28, 20252 updates tracked since enumeration
NPPES CertifiedDecember 28, 2025
NPI 1629822812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95035976
11819 GREENBRIER LN, Grand Terrace, CA 92313

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lindy M Legoh is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416240213
PECOS Enrollment IDI20260113002329
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 92313 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629822812, enumerated as an "individual" on April 15, 2024.

The provider is located at 11819 GREENBRIER LN GRAND TERRACE, CA 92313 and the phone number is (909) 965-6560.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.