Samuel Ivan Leon Alonzo

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

2001 E 4TH St Ste 200
Santa Ana, CA 92705-3916

Phone

(714) 824-8140

Fax

(714) 824-8142

NPI assigned

Mar 20, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Nyansa Learning Corporation

  • Early Intervention Provider Agency
  • Santa Ana, CA
  • NPI 1942434741
  NPD (past)

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1184184830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 E 4TH ST STE 200",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92705",
            "telephone_number": "714-824-8140",
            "fax_number": "714-824-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 E 4TH ST STE 200",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053916",
            "telephone_number": "714-824-8140",
            "fax_number": "714-824-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON ALONZO",
        "first_name": "SAMUEL",
        "middle_name": "IVAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-20",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Lemus
• Debbie Lenhart, LMFT
• Linda Lee Lenn
• Deborah Suzanne Lent, RN
• Nancy Anne Lentzner, LCSW, BCD
• Yuliana Leon Ortiz
• Dalia Leon, RN
• Elvira Leon
• Giovanni Leon
• Harol Leon

• Community Health Worker in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.