LESLIE VANESSA THEROITH NP
NPI 1841473097
Nurse Practitioner - Family in Pomona, CA

Q: What is Leslie Theroith's NPI number?

The NPI number for Leslie Theroith is 1841473097. It was assigned to this individual provider in the NPPES registry on December 11, 2007.

Q: What is Leslie Theroith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Leslie Theroith was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since December 11, 2007PECOS Enrolled

790 E BONITA AVE FL 2, POMONA, CA 91767(909) 469-0033(909) 620-9146 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 23, 2022, Oct 24, 2018, Nov 13, 2017 (3 updates tracked since 2017).

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About Leslie Vanessa Theroith Np NPPES

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

LESLIE VANESSA THEROITH NP (NPI 1841473097) is an individual family provider in Pomona, California, licensed in California (16020) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Rancho Cucamonga.

NPPES Registry Identity

NPI1841473097

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLESLIE VANESSA THEROITHCredential: NP

Location Address790 E BONITA AVE FL 2Pomona, CA 91767-1906

Mailing Address840 Towne Center DrPomona, CA 91767-5900 · (909) 398-1550 · Fax (909) 398-1488

Phone(909) 469-0033

Fax(909) 620-9146

Sole ProprietorNo

Enumeration DateDecember 11, 2007

Last NPPES UpdateAugust 23, 20223 updates tracked since enumeration

NPPES CertifiedAugust 23, 2022

✔ NPI 1841473097 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 · 16020

790 E BONITA AVE FL 2, Pomona, CA 91767

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Secondary Practice Location 1

Location 19190 Haven Ave Ste 102Rancho Cucamonga, CA 91730-5431 · Phone (909) 980-9898 · Fax (909) 581-6738

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leslie Vanessa Theroith Np 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 91767 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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 8

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

JANE ELLEN RODGERS

Physician Assistant