Active NPI
Robert De Leon
- Physician Assistant
- Torrance, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 55536
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 55536 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Algos Inc., a Medical Corporation | Current | Accepting new patients | |
| Torrance Health Association Inc | Single Specialty | Current | 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.
-
- Family Medicine Physician
- Torrance, CA
- NPI 1083903124
Single Specialty
-
- Pain Medicine Physician
- Pasadena, CA
- NPI 1497747356
-
- Clinical Medical Laboratory
- Pasadena, CA
- NPI 1699169961
-
- Pain Medicine Physician
- Simi Valley, CA
- NPI 1063890275
Single Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Torrance, CA
- NPI 1467459776
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.