Baldomero de Leon M.D. Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G35749 Issued in CA

Legal business name

BALDOMERO DE LEON M.D. INC.

Practice address

1479 Ygnacio Valley Rd Ste 201
Walnut Creek, CA 94598-2945

Phone

(925) 932-1018

Fax

(925) 932-7938

NPI assigned

Oct 9, 2012

Organization subpart

No

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

Authorized official

Name

Baldomero De Leon, MDNPI 1891819090

Title

Owner

Phone

(925) 932-1018

Specialties & licenses 1

Addresses

Other names 1

• Baldomero De Leon MD Inc Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Baldomero De Leon Jr., M.D.

  • Internal Medicine Physician
  • Walnut Creek, CA
  • NPI 1891819090
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522800000000",
    "number": "1063764488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 LA CASA VIA STE 201",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983030",
            "telephone_number": "925-932-1018",
            "fax_number": "925-932-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1479 YGNACIO VALLEY RD STE 201",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982945",
            "telephone_number": "925-932-1018",
            "fax_number": "925-932-7938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALDOMERO DE LEON M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-09",
        "last_updated": "2018-04-04",
        "status": "A",
        "authorized_official_last_name": "DE LEON",
        "authorized_official_first_name": "BALDOMERO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-932-1018",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G35749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baldomero De Leon MD Inc",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Baldomero De Leon MD Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Francine Ball, L.AC.

• Internal Medicine Physician in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.