Active NPI
Leon Denson Royston Jr., PA
- Medical Physician Assistant
- Chico, CA
National Provider Identifier
1285679779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA12790
- Practice address
- 2012 Franklin St
Chico, CA 95928-6727 - Phone
- (530) 899-4791
- Fax
- (530) 893-6184
- NPI assigned
- Jun 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA12790 | CA | Primary |
Addresses
Primary practice location
2012 Franklin St
Chico, CA 95928-6727
Mailing address
2012 Franklin St
Chico, CA 95928-6727
Phone (530) 899-4791
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA12790 | Other | CA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12790 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gooding County Hospital District | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Critical Access Hospital
- Gooding, ID
- NPI 1295769537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1285679779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2012 FRANKLIN ST",
"city": "CHICO",
"state": "CA",
"postal_code": "959286727",
"telephone_number": "530-899-4791",
"fax_number": "530-893-6184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2012 FRANKLIN ST",
"city": "CHICO",
"state": "CA",
"postal_code": "959286727",
"telephone_number": "530-899-4791",
"fax_number": "530-893-6184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROYSTON",
"first_name": "LEON",
"middle_name": "DENSON",
"name_suffix": "Jr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-18",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA12790",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PA12790",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.