Fueled by Leo, Inc.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

FUELED BY LEO, INC.

Practice address

1222 W Shaw Ave
Fresno, CA 93711-3706

Phone

(559) 512-0404

Fax

(559) 512-0404

NPI assigned

Jun 4, 2020

Organization subpart

No

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

Authorized official

Name

Leonila CamposNPI 1801329214

Title

Owner, Provider

Phone

(559) 512-0404

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leonila Campos, RD

  • Registered Dietitian
  • Fresno, CA
  • NPI 1801329214

  Dietitian, Registered

  Medicare reassignment NPD Authorized official
• Anna Jayoung Kwon

  • Registered Dietitian
  • Fresno, CA
  • NPI 1427908854

  Dietitian, Registered

  Medicare reassignment NPD

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770076800000",
    "number": "1336763473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 W FREMONT AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937229001",
            "telephone_number": "559-512-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 W SHAW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113706",
            "telephone_number": "559-512-0404",
            "fax_number": "559-512-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUELED BY LEO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-04",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A",
        "authorized_official_last_name": "CAMPOS",
        "authorized_official_first_name": "LEONILA",
        "authorized_official_title_or_position": "OWNER, PROVIDER",
        "authorized_official_telephone_number": "559-512-0404"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Mae Fry, MA,MFTI
• Kimberly Frye
• Paul Frazier Frye, M.D.
• William Frye, MD
• Karen L. Fu, MFT
• Vivian Fuentes Ramos
• Arvin Sanchez Fuentes, M.D.
• Brandy Alaze Fuentes
• Corrine Fuentes
• Haley Ingrid Fuentes, LMFT

• Registered Dietitian in Fresno, CA
• Providers in Fresno, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; 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.