De Leon Medical Clinic Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD-3031 Issued in HI

Legal business name

DE LEON MEDICAL CLINIC INC

Practice address

1520 Liliha St Ste 203
Honolulu, HI 96817-3563

Phone

(808) 528-3571

Fax

(808) 528-0196

NPI assigned

Aug 5, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jose C De Leon, MDNPI 1275639866

Title

President

Phone

(808) 528-3571

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Jose C Deleon, M.D.

  • Internal Medicine Physician
  • Honolulu, HI
  • NPI 1275639866
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375660800000",
    "number": "1104258870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 LILIHA ST STE 203",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968173563",
            "telephone_number": "808-528-3571",
            "fax_number": "808-528-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 LILIHA ST STE 203",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968173563",
            "telephone_number": "808-528-3571",
            "fax_number": "808-528-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE LEON MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-05",
        "last_updated": "2013-08-05",
        "status": "A",
        "authorized_official_last_name": "DE LEON",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-528-3571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD-3031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII LICENSE",
            "identifier": "MD-3031",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Franklin Nolasco De Gracia, MAMFT
• Arwin De Jesus
• Caroline Viernes De Jesus, BCBA
• Sophie De Jong
• Xiomara De Leon Gotay
• Florante Lacar De Leon, MD
• Marie Angelyn Gaoiran De Leon, REGISTERED NURSE
• Monica Maria De Leon, OTR/L
• Mohala De Lima
• Jun De Los Reyes, DDS

• Internal Medicine Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Internal Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.