Active NPI
Judy de Leon
- Community/Behavioral Health Agency
- Campbell, CA
National Provider Identifier
1073774170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- MFC 41569
- Legal business name
- JUDY DE LEON
- Practice address
- 3425 S Bascom Ave
Suite F
Campbell, CA 95008-7300 - Phone
- (408) 595-5258
- NPI assigned
- Jun 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Judy De Leon, LMFT
- Title
- Marriage Family Therapist
- Phone
- (408) 595-5258
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | MFC 41569 | CA | Primary |
Addresses
Primary practice location
3425 S Bascom Ave
Suite F
Campbell, CA 95008-7300
Mailing address
3425 S Bascom Ave
Suite F
Campbell, CA 95008-7300
Phone (408) 595-5258
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043388598 | Other | CA | GARDNER FA MILY CARE CORP. |
National Provider Directory
National Provider DirectoryLocations
3425 S Bascom Ave
Ste F
Campbell, CA 95008
Phone (408) 307-0901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213920000000",
"number": "1073774170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3425 S BASCOM AVE",
"address_2": "SUITE F",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950087300",
"telephone_number": "408-595-5258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3425 S BASCOM AVE",
"address_2": "SUITE F",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950087300",
"telephone_number": "408-595-5258"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUDY DE LEON",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-20",
"last_updated": "2008-06-20",
"status": "A",
"authorized_official_last_name": "DE LEON",
"authorized_official_first_name": "JUDY",
"authorized_official_title_or_position": "MARRIAGE FAMILY THERAPIST",
"authorized_official_telephone_number": "408-595-5258",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CA",
"license": "MFC 41569",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GARDNER FA MILY CARE CORP.",
"identifier": "1043388598",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Campbell, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.