Individual provider Active NPI

Maria Creselda De Leon, MD

  • Gynecologic Oncology Physician
  • Santa Clarita, CA
National Provider Identifier
1073773073
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
01071053A Issued in IN
Practice address
23823 Valencia Blvd Ste 250
Santa Clarita, CA 91355-9512
Phone
(661) 799-1999
Fax
(661) 799-0829
NPI assigned
Jun 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X 01071053A IN Primary

Addresses

Primary practice location

23823 Valencia Blvd Ste 250
Santa Clarita, CA 91355-9512

Mailing address

PO Box 512185
Los Angeles, CA 90051-0185
Phone (626) 775-3514

Other practice location 1

15031 Rinaldi St Ste 150
Mission Hills, CA 91345-1207
Phone (818) 660-4700

Other practice location 2

20 York St # T-209
New Haven, CT 06510-3220
Phone (203) 688-2259

Other practice location 3

44151 15th St W Ste 101
Lancaster, CA 93534-4079
Phone (661) 902-5600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@cityofhope.direct-ci.com CITY OF HOPE MEDICAL FOUNDATION

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160302002288 CA Practitioner - Obstetrics/Gynecology 5597980763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
City of Hope Medical FoundationGroup PAC ID 3779751656, 964 clinicians

Practice addresses (Care Compare)

15031 Rinaldi St
Suite 100And150
Mission Hills, CA 91345-1207
Phone (818) 496-4410

209 Fair Oaks Ave
South Pasadena, CA 91030-1814
Phone (626) 396-2900

23823 Valencia Blvd
Suite 250
Santa Clarita, CA 91355-9512
Phone (626) 775-3200

44151 15TH St W
Suite 101
Lancaster, CA 93534-4079
Phone (661) 902-5600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.8 of 100Reported as group
Quality
78.51
Promoting interoperability
100
Improvement activities
40
Cost
70.37

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
121361CAMDSocial Worker
01071053AINMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City of Hope Medical Group, Inc. Current Accepting new patients
City of Hope Medical Foundation CurrentSince Feb 1, 2016 Accepting new patients
California Cancer Specialists Medical Group Inc Past Accepting new patients

Locations

1500 Duarte Rd
Duarte, CA 91010
Phone (626) 359-8111

44151 15th St W
#101
Lancaster, CA 93534
Phone (661) 902-5600

15031 Rinaldi St
Ste 150
Mission Hills, CA 91345
Phone (818) 660-4700

1333 S Mayflower Ave
Fl 2
Monrovia, CA 91016
Phone (626) 775-3514

6939 Palm Ct
Riverside, CA 92506
Phone (760) 416-4832

23823 Valencia Blvd
Ste 250
Santa Clarita, CA 91355
Phone (661) 799-1999

209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: direct@cityofhope.direct-ci.com
  • Direct secure messaging: mdeleon8688@cityofhope.direct-ci.com

Organizations & group practices 3

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 6

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": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1073773073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 512185",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900510185",
            "telephone_number": "626-775-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23823 VALENCIA BLVD STE 250",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913559512",
            "telephone_number": "661-799-1999",
            "fax_number": "661-799-0829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15031 Rinaldi St Ste 150",
            "address_purpose": "LOCATION",
            "city": "Mission Hills",
            "state": "CA",
            "postal_code": "913451207",
            "country_code": "US",
            "telephone_number": "818-660-4700",
            "fax_number": "818-837-1987",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 York St # T-209",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065103220",
            "country_code": "US",
            "telephone_number": "203-688-2259",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44151 15th St W Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935344079",
            "country_code": "US",
            "telephone_number": "661-902-5600",
            "fax_number": "661-951-0686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LEON",
        "first_name": "MARIA CRESELDA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-12",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "IN",
            "license": "01071053A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@cityofhope.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "CITY OF HOPE MEDICAL FOUNDATION",
            "address_1": "1500 Duarte Rd",
            "city": "Duarte",
            "state": "CA",
            "country_code": "US",
            "postal_code": "910103012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

Verify at the official NPI Registry.