Individual provider Active NPI

Manuel Diaz Leal, PA-C

  • Physician Assistant
  • San Diego, CA
National Provider Identifier
1326010778
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1029908 Issued in CA
Practice address
2650 Stockton Rd
BLD 624
San Diego, CA 92106-6000
Phone
(619) 524-1358
Fax
(619) 524-0086
NPI assigned
Feb 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1029908 CA Primary

Addresses

Primary practice location

2650 Stockton Rd
BLD 624
San Diego, CA 92106-6000

Mailing address

2531 Whispering Palms Loop
Chula Vista, CA 91915-1401
Phone (619) 216-0804

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

LicenseStateTypeSpecialty
20421CAMDClinical Social Worker
1029908CAMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1326010778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2531 WHISPERING PALMS LOOP",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919151401",
            "telephone_number": "619-216-0804",
            "fax_number": "619-524-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 STOCKTON RD",
            "address_2": "BLD 624",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921066000",
            "telephone_number": "619-524-1358",
            "fax_number": "619-524-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAL",
        "first_name": "MANUEL",
        "middle_name": "DIAZ",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "1029908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.