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LESLIE A. STOREY, M.D., INC.
NPI 1871023432
Dermatology - MOHS-Micrographic Surgery in Fresno, CA

Active since June 15, 2017
7777 N. INGRAM AVE., FRESNO, CA 93711(559) 472-7546(559) 385-7733 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Aug 16, 2017, Jun 15, 2017 (3 updates tracked since 2017).

About Leslie A. Storey, M.d., Inc. NPPES

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

LESLIE A. STOREY, M.D., INC. (NPI 1871023432) is a healthcare organization registered as a mohs-micrographic surgery in Fresno, California and active in the NPI registry since June 2017. The organization lists Leslie A. Storey, Owner, as its authorized official.

NPPES Registry Identity

NPI1871023432
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameLESLIE A. STOREY, M.D., INC.
Location Address7777 N. INGRAM AVE.Fresno, CA 93711-6281
Mailing Address4388 N Wilson AveFresno, CA 93704-3628 · (559) 476-0515
Phone(559) 472-7546
Fax(559) 385-7733
Organization SubpartNo
Authorized OfficialLeslie A. StoreyOwner · (559) 472-7546
Enumeration DateJune 15, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1871023432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in CA · A81742
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
7777 N. INGRAM AVE., Fresno, CA 93711
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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)

Leslie A. Storey, M.d., Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Leslie A. Storey, M.D., Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Leslie Storey, MD
Dermatology
NPI 1043313133
7777 N. INGRAM AVE.
Fresno, CA 93711
(559) 472-7546
✔ PECOS✔ Accepts MedicareSame address
Nicole Davis-Marenco, FNP
Nurse Practitioner
NPI 1114788767
4125 BANGS AVE
Modesto, CA 95356
(209) 735-5510
✔ PECOS91 mi

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 Leslie A. Storey, M.D., Inc.'s NPI number?

The NPI number for Leslie A. Storey, M.D., Inc. is 1871023432. It was assigned to this organization in the NPPES registry on June 15, 2017.

Where is Leslie A. Storey, M.D., Inc. located?

Leslie A. Storey, M.D., Inc. is located at 7777 N. Ingram Ave., Fresno, CA 93711. The listed phone number is (559) 472-7546.

What is Leslie A. Storey, M.D., Inc.'s specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Leslie A. Storey, M.D., Inc. enrolled in Medicare?

Yes. Leslie A. Storey, M.D., Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Leslie A. Storey, M.D., Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Leslie A. Storey, M.D., Inc., in Dermatology and Nurse Practitioner. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Leslie A. Storey, M.D., Inc. was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.