MRS. JUDITH WHITNEY LEONARD PNP, BC
NPI 1639186067
Nurse Practitioner - Pediatrics in Lake Forest, CA
About Mrs. Judith Whitney Leonard Pnp, Bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JUDITH WHITNEY LEONARD PNP, BC (NPI 1639186067) is an individual pediatrics provider in Lake Forest, California, licensed in California (374842) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Judith Whitney Leonard Pnp, Bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Judith Leonard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Laguna Beach, CA 92651
- Reassigned Medicare billing, California enrollment
- 7 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92630 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAKE FOREST, CA 92630
LAKE FOREST, CA 92630
LAKE FOREST, CA 92630
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 Judith Leonard's NPI number?
The NPI number for Judith Leonard is 1639186067. It was assigned to this individual provider in the NPPES registry on August 1, 2006.
Where is Judith Leonard located?
Judith Leonard practices at 23321 El Toro Rd Suites F & G, Lake Forest, CA 92630. The listed phone number is (949) 770-0513.
What is Judith Leonard's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Judith Leonard enrolled in Medicare?
Yes. Judith Leonard is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Judith Leonard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Judith Leonard reassigns Medicare benefits to Laguna Beach Community Clinic, Inc. (Laguna Beach, CA). The 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 Judith Leonard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Judith Leonard was last updated on November 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Mrs. Judith Whitney Leonard, PNP, BC · NPI 1639186067
Pediatrics physician in Lake Forest, California. Individual provider, active in the CMS NPPES registry since August 1, 2006.
## Identity
- **NPI:** 1639186067 (Entity type: Individual)
- **Enumerated:** August 1, 2006
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 374842 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 23321 EL TORO RD, SUITES F & G, Lake Forest, CA 92630-4825
- **Phone:** (949) 770-0513 · **Fax:** (949) 770-2941
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Laguna Beach Community Clinic, Inc. (NPI 1225149222, Laguna Beach, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 19, 2008
- **Other identifiers:** Medicaid ZZZ8391Z (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1639186067) · Data from the CMS NPPES public registry.