Organization Active NPI

Jennifer Leoniak D.O., Inc

  • Infectious Disease Physician
  • Turlock, CA
National Provider Identifier
1235510710
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
13410 Issued in CA
Legal business name
JENNIFER LEONIAK D.O., INC
Practice address
920 Delbon Ave
Turlock, CA 95382-2019
Phone
(209) 208-0923
Fax
(209) 748-4850
NPI assigned
Jun 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Authorized official

Name
Jamie Dole
Title
Manger
Phone
(209) 575-4575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X 13410 CA Primary

Addresses

Primary practice location

920 Delbon Ave
Turlock, CA 95382-2019

Mailing address

PO Box 4978
Modesto, CA 95352-4978
Phone (209) 575-4575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150820011398 CA Part B Supplier - Clinic/Group Practice 3779898606 Receives reassigned benefits from 1 practitioner
Practice locations: Turlock, CA

National Provider Directory

National Provider Directory

Locations

4230 Kiernan Ave
Ste 240
Modesto, CA 95356

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743033600000",
    "number": "1235510710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4978",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953524978",
            "telephone_number": "209-575-4575",
            "fax_number": "209-575-4598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 DELBON AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822019",
            "telephone_number": "209-208-0923",
            "fax_number": "209-748-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER LEONIAK D.O., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-10",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A",
        "authorized_official_last_name": "DOLE",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "209-575-4575"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "13410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.