Epifanio Jose Deleon, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A75985 Issued in CA

Practice address

1210 Rossmoor Pkwy
Walnut Creek, CA 94595-2501

Phone

(925) 933-1210

Fax

(925) 933-2051

NPI assigned

Nov 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Suncrest Hospice San Jose LLC

  • Community Based Hospice Care Agency
  • Fremont, CA
  • NPI 1124368808

  Contracted Managing Employee

  CMS ownership
• Tender Loving Care Health Care Services Western, LLC

  • Home Health Agency
  • Campbell, CA
  • NPI 1538228218

  W-2 Managing Employee

  CMS ownership

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.

• Rossmoor Medical Associates Inc

  • Internal Medicine Physician
  • Walnut Creek, CA
  • NPI 1700954914
  Medicare reassignment NPD
• Home Sweet Care Homes, Inc.

  • Assisted Living Facility
  • Concord, CA
  • NPI 1891149761
  NPD (past)

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

{
    "created_epoch": "1164412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1124194907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 YGNACIO VALLEY RD # B144",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983214",
            "telephone_number": "925-289-2171",
            "fax_number": "888-368-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 ROSSMOOR PKWY",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945952501",
            "telephone_number": "925-933-1210",
            "fax_number": "925-933-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELEON",
        "first_name": "EPIFANIO",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-25",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A75985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Delacruz
• Delaney M.D., a Professional Corporation
• Elizabeth Anne Delaney, M.D.
• Leslie Roberta Delaney, M.D.
• Gabrielle Delatorre
• Javier L. Deleon, M.D.
• Michaela Renae Deleon
• Natalie Delfavero, MD
• Emily Delgadillo
• Eva Delgado, BA

• 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 Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.