Active NPI
Archangel De Leon, M.D
- Forensic Psychiatry Physician
- Sacramento, CA
National Provider Identifier
1083977201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychiatry Physician
- License
- C 40823
- Practice address
- 7466 Sun Castle LN
Sacramento, CA 95823-6734 - Phone
- (510) 434-4100
- NPI assigned
- Jun 21, 2012
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | C 40823 | CA | |
| Forensic Psychiatry Physician | 2084F0202X | C 40823 | CA | Primary |
| Neurology Physician | 2084N0400X | C 40823 | CA | |
| Psychosomatic Medicine Physician | 2084P0015X | C 40823 | CA | |
| Psychiatry Physician | 2084P0800X | C 40823 | CA | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | C 40823 | CA | |
| Geriatric Psychiatry Physician | 2084P0805X | C 40823 | CA |
Addresses
Primary practice location
7466 Sun Castle LN
Sacramento, CA 95823-6734
Mailing address
7466 Sun Castle LN
Sacramento, CA 95823-6734
Phone (510) 434-4100
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C 40823 | CA | MD | Forensic Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340236800000",
"number": "1083977201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7466 SUN CASTLE LN",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958236734",
"telephone_number": "510-434-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7466 SUN CASTLE LN",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958236734",
"telephone_number": "510-434-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LEON",
"first_name": "ARCHANGEL",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-21",
"last_updated": "2012-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "CA",
"license": "C 40823",
"primary": false
},
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "CA",
"license": "C 40823",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "C 40823",
"primary": false
},
{
"code": "2084P0015X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychosomatic Medicine",
"state": "CA",
"license": "C 40823",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "C 40823",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "C 40823",
"primary": false
},
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "CA",
"license": "C 40823",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.