Individual provider Active NPI

Leo Rosas Saffari, WHNP-BC

  • Women's Health Nurse Practitioner
  • Stockton, CA
National Provider Identifier
1255219721
Registry record updated Aug 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
95036823 Issued in CA
Practice address
678 N Wilson Way # G
Stockton, CA 95205-4272
Phone
(209) 466-2081
NPI assigned
Aug 23, 2025
Last updated
Aug 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 95036823 CA Primary

Addresses

Primary practice location

678 N Wilson Way # G
Stockton, CA 95205-4272

Mailing address

2362 American River Dr Apt 109
Sacramento, CA 95825-7034
Phone (916) 342-5614

Other names 1

  • Leo Rosas Vickers Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251201002103 CA Practitioner - Nurse Practitioner 7810480795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Planned Parenthood Mar Monte IncGroup PAC ID 1456248954, 31 clinicians

Practice addresses (Care Compare)

965 E Yosemite Ave
Suite 2
Manteca, CA 95336-5943
Phone (209) 239-2528

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Mar Monte, Inc Current Accepting new patients
Planned Parenthood Mar Monte, Inc. CurrentSince Sep 18, 2025 Accepting new patients
Planned Parenthood Mar Monte, Inc CurrentSince Aug 25, 2025 Accepting new patients
Planned Parenthood Mar Monte, Inc CurrentSince Sep 18, 2025 Accepting new patients
Planned Parenthood Mar Monte, Inc PastSince Aug 25, 2025 Accepting new patients

Locations

965 E Yosemite Ave
Ste 2
Manteca, CA 95336
Phone (209) 239-2528

201 29th St
Sacramento, CA 95816
Phone (916) 446-6921

4555 Precissi Ln
Stockton, CA 95207
Phone (209) 477-4103

678 N Wilson Way
#G
Stockton, CA 95205
Phone (209) 466-2081

Interoperability endpoints

  • Direct secure messaging: leorosas.saffari.p1@direct.ppmarmonte.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1755907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755907200000",
    "number": "1255219721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2362 AMERICAN RIVER DR APT 109",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958257034",
            "telephone_number": "916-342-5614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "678 N WILSON WAY # G",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952054272",
            "telephone_number": "209-466-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSAS SAFFARI",
        "first_name": "LEO",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-23",
        "last_updated": "2025-08-23",
        "certification_date": "2025-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "95036823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEO",
            "last_name": "ROSAS VICKERS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.