Individual provider Active NPI

Samuel O Leon, M.D.

  • Family Medicine Physician
  • Hanford, CA
National Provider Identifier
1265486070
Registry record updated Aug 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A73337 Issued in CA
Practice address
560 W Grangeville Blvd
Suite C
Hanford, CA 93230-2866
Phone
(559) 583-1110
Fax
(559) 583-1121
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2009

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 A73337 CA Primary

Addresses

Primary practice location

560 W Grangeville Blvd
Suite C
Hanford, CA 93230-2866

Mailing address

560 W Grangeville Blvd
Suite C
Hanford, CA 93230-2866
Phone (559) 583-1110

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040325001281 CA Practitioner - Family Practice 5092606509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Geffen School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

560 W Grangeville Blvd
Suite C
Hanford, CA 93230-2858
Phone (559) 583-1110

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Samuel O Leon Incorporated Family Medicine CurrentSince Jun 15, 2009 Accepting new patients
Genesis Medical Clinics PastSince Jun 15, 2009 Accepting new patients
Hanford Community Hospital Past Accepting new patients

Locations

560 W Grangeville Blvd
Ste C
Hanford, CA 93230
Phone (559) 583-1110

Interoperability endpoints

  • Direct secure messaging: samuel.leon.p1@direct.altura.nextgenshare.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 1

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249257600000",
    "number": "1265486070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 W GRANGEVILLE BLVD",
            "address_2": "SUITE C",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932302866",
            "telephone_number": "559-583-1110",
            "fax_number": "559-583-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 W GRANGEVILLE BLVD",
            "address_2": "SUITE C",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932302866",
            "telephone_number": "559-583-1110",
            "fax_number": "559-583-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON",
        "first_name": "SAMUEL",
        "middle_name": "O",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2009-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A73337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

Verify at the official NPI Registry.