Provider Demographics
NPI:1235147950
Name:BARGER, LESLIE W (MD)
Entity Type:Individual
Prefix:
First Name:LESLIE
Middle Name:W
Last Name:BARGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 DATA DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-7956
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3000 Q ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-7058
Practice Address - Country:US
Practice Address - Phone:916-733-5336
Practice Address - Fax:916-733-5385
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2012-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG71767207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1089849OtherGREAT WEST
CA1061734OtherFIRST HEALTH
CA90026132OtherPACIFICARE
CA00G717670Medicaid
CA1452772OtherUNITED HEALTHCARE
CA2366OtherINTERPLAN
CAG71767OtherBLUE CROSS
CAMCMG167300OtherWESTERN HEALTH ADVANTAGE
CA00G717670OtherBLUE SHIELD
CA1059394OtherCIGNA
CA4507067OtherAETNA
CA500836OtherHEALTH NET
CA000810342582OtherPHCS
CA00G717670OtherBLUE SHIELD
CA4507067OtherAETNA