Active NPI
Darlene Leon
- Substance Abuse Rehabilitation Facility
- Corona, CA
National Provider Identifier
1043698509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 4722559913
- Practice address
- 13757 Aspen Leaf LN
Corona, CA 92880-0721 - Phone
- (951) 777-8775
- Fax
- (951) 220-7178
- NPI assigned
- May 15, 2015
- Last updated
- May 15, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 4722559913 | CA | Primary |
Addresses
Primary practice location
13757 Aspen Leaf LN
Corona, CA 92880-0721
Mailing address
19069 Van Buren Blvd
114-116
Riverside, CA 92508-9169
Phone (951) 777-8775
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 472259913 | Other | SUBSTANCE ABUSE FACILITY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4722559913 | CA | MD | Substance Abuse Rehabilitation Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431648000000",
"number": "1043698509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19069 VAN BUREN BLVD",
"address_2": "114-116",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925089169",
"telephone_number": "951-777-8775",
"fax_number": "951-220-7178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13757 ASPEN LEAF LN",
"city": "CORONA",
"state": "CA",
"postal_code": "928800721",
"telephone_number": "951-777-8775",
"fax_number": "951-220-7178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEON",
"first_name": "DARLENE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-15",
"last_updated": "2015-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "CA",
"license": "4722559913",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUBSTANCE ABUSE FACILITY",
"identifier": "472259913",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.