Jeff P. Deleon, DO., Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A7279 Issued in CA

Legal business name

JEFF P. DELEON, DO., INC.

Practice address

440 Fair Dr
Suite E
Costa Mesa, CA 92626-6274

Phone

(714) 444-0737

Fax

(714) 444-0742

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

Jeff P Deleon, D.O.

Title

Ceo

Phone

(714) 444-0737

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1194746230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 FAIR DR",
            "address_2": "SUITE E",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926266274",
            "telephone_number": "714-444-0737",
            "fax_number": "714-444-0742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 FAIR DR",
            "address_2": "SUITE E",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926266274",
            "telephone_number": "714-444-0737",
            "fax_number": "714-444-0742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF P. DELEON, DO., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "DELEON",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-444-0737",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A7279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX72790",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmene Jarrett, MPT
• Robert Michael Jarvis, PH.D.
• Idalia Jasso
• Jordan Tyler G Javellana, PA-C
• Jaycee Lapid Lim DMD Inc. (Coastal Smiles)
• Selah Jeffers
• Jeffrey Felgner MD, P.C.
• Jeffrey H Brown Optometry P C
• Jeffrey R. Taylor, MD, Inc.
• Keith Allen Jenkins, DNP, PMHNP-BC, FNP

• Family Medicine Physician in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.