NPIMap

Individual provider Active NPI

James Francis Leoni, M.D.

  • Family Medicine Physician
  • Petaluma, CA
National Provider Identifier
1205936861
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G56154 Issued in CA
Practice address
104 Lynch Creek Way
Ste 10
Petaluma, CA 94954-2355
Phone
(707) 782-9123
Fax
(707) 782-9622
NPI assigned
Sep 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G56154 CA Primary

Addresses

Primary practice location

104 Lynch Creek Way
Ste 10
Petaluma, CA 94954-2355

Mailing address

3536 Mendocino Ave
Ste 200
Santa Rosa, CA 95403-3634
Phone (707) 525-6485

Other identifiers 3

IdentifierTypeStateIssuer
00G561540OtherCABS OF CALIFORNIA
P00469225OtherRR MEDICARE
1205936861MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050921000882 CA Practitioner - Family Practice 6901830736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Creighton University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Attenda Medical Group IncGroup PAC ID 6507274354, 3 clinicians

Practice addresses (Care Compare)

1116 B St
Petaluma, CA 94952-4054
Phone (707) 782-9123

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G56154CAMDFamily Medicine Physician
56154CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Attenda Medical Group Inc Family Medicine CurrentSince May 1, 2021 Accepting new patients
SRM Alliance Hospital Services Past Accepting new patients
Quantum Healthcare Medical Associates Inc. Family Medicine Past Accepting new patients

Locations

1116 B St
Petaluma, CA 94952
Phone (707) 781-6926

3510 Unocal Pl
Ste 207
Santa Rosa, CA 95403
Phone (707) 284-3933

506 S Main St
Sebastopol, CA 95472
Phone (707) 829-5455

Interoperability endpoints

  • Direct secure messaging: jleoni228266@hisp.ehr.sutterhealth.org
  • FHIR API: https://app.meldrx.com/api/fhir/Freedom_AMG
  • Direct secure messaging: jleoni_amg@amg1500.srs-direct.com

Organizations & group practices 3

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328659200000",
    "number": "1205936861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 MENDOCINO AVE",
            "address_2": "STE 200",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954033634",
            "telephone_number": "707-525-6485",
            "fax_number": "707-782-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 LYNCH CREEK WAY",
            "address_2": "STE 10",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949542355",
            "telephone_number": "707-782-9123",
            "fax_number": "707-782-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONI",
        "first_name": "JAMES",
        "middle_name": "FRANCIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2012-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G56154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS OF CALIFORNIA",
            "identifier": "00G561540",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00469225",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205936861",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Petaluma, CA

Sources for this page

Verify at the official NPI Registry.