Octavio Leon

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

104831 Issued in CA

Practice address

1831 Ridge Rd
Bakersfield, CA 93305-4119

Phone

(661) 868-4300

Fax

(661) 868-7492

NPI assigned

Sep 26, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• County of Kern

  • Prison Health Clinic/Center
  • Bakersfield, CA
  • NPI 1184465205
  NPD

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1124577606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 436",
            "city": "BUTTONWILLOW",
            "state": "CA",
            "postal_code": "932060436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 RIDGE RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933054119",
            "telephone_number": "661-868-4300",
            "fax_number": "661-868-7492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 N Delaware St",
            "address_purpose": "LOCATION",
            "city": "San Mateo",
            "state": "CA",
            "postal_code": "944011732",
            "country_code": "US",
            "telephone_number": "650-558-2709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEON",
        "first_name": "OCTAVIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-26",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "67313",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "104831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenzali Leon
• Leslie Ariadna Leon
• Nancy Leon, LCSW
• Naomi Leon
• Nicholas Luke Leon
• Rebecca Leon
• Silvia Leon
• Tiffany Leon
• Veronica Leon
• Viviana Leon

• All providers in Bakersfield, CA
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.