Individual provider Active NPI

Robert De Leon

  • Physician Assistant
  • Torrance, CA
National Provider Identifier
1023507324
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
55536 Issued in CA
Practice address
23530 Hawthorne Blvd Ste 290
Torrance, CA 90505
Phone
(424) 903-7007
NPI assigned
May 2, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 55536 CA Primary

Addresses

Primary practice location

23530 Hawthorne Blvd Ste 290
Torrance, CA 90505

Mailing address

23530 Hawthorne Blvd Ste 290
Torrance, CA 90505-4713
Phone (424) 903-7007

Other practice location 1

1125 E 17th St Ste N-452
Santa Ana, CA 92701-2201
Phone (714) 597-7214

Other practice location 2

18035 Brookhurst St Ste 1700
Fountain Valley, CA 92708-6738
Phone (714) 433-2000

Other practice location 3

16415 Colorado Ave Ste 402
Paramount, CA 90723-5052
Phone (562) 207-4644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190122002405 CA Practitioner - Physician Assistant 8729325352 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Torrance Health Association IncGroup PAC ID 1355302134, 298 clinicians

Practice addresses (Care Compare)

23550 Hawthorne Blvd
Suite 120
Torrance, CA 90505-4767
Phone (310) 517-1216

514 N Prospect Ave
FL 4
Redondo Beach, CA 90277-3040
Phone (310) 750-3300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
55536CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Algos Inc., a Medical Corporation CurrentSince Dec 3, 2018 Accepting new patients
Torrance Health Association Inc Single Specialty CurrentSince Feb 1, 2024 Accepting new patients
Algos Inc., a Medical Corporation Single Specialty Past Accepting new patients

Locations

1017 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 403-6200

514 N Prospect Ave
Fl 4
Redondo Beach, CA 90277
Phone (310) 750-3300

23326 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 257-7205

23560 Crenshaw Blvd
Ste 102
Torrance, CA 90505
Phone (310) 784-2355

23550 Hawthorne Blvd
Ste 120
Torrance, CA 90505
Phone (310) 517-1216

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1023507324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23530 HAWTHORNE BLVD STE 290",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054713",
            "telephone_number": "424-903-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23530 HAWTHORNE BLVD STE 290",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90505",
            "telephone_number": "424-903-7007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1125 E 17th St Ste N-452",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927012201",
            "country_code": "US",
            "telephone_number": "714-597-7214",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18035 Brookhurst St Ste 1700",
            "address_purpose": "LOCATION",
            "city": "Fountain Valley",
            "state": "CA",
            "postal_code": "927086738",
            "country_code": "US",
            "telephone_number": "714-433-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16415 Colorado Ave Ste 402",
            "address_purpose": "LOCATION",
            "city": "Paramount",
            "state": "CA",
            "postal_code": "907235052",
            "country_code": "US",
            "telephone_number": "562-207-4644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LEON",
        "first_name": "ROBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-02",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "55536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.