Individual provider Active NPI

Zoe Ann Leefer Van Leeuwen, PA-C

  • Physician Assistant
  • Marysville, CA
National Provider Identifier
1336953579
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
67236 Issued in CA
Practice address
414 G St Ste 112
Marysville, CA 95901-5669
Phone
(530) 749-6650
Fax
(530) 749-6651
NPI assigned
Feb 6, 2025
Last updated
Nov 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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 67236 CA Primary

Addresses

Primary practice location

414 G St Ste 112
Marysville, CA 95901-5669

Mailing address

240 Natoma Station Dr Apt 138
Folsom, CA 95630-7983
Phone (510) 798-8045

Other practice location 1

2570 48th St
Sacramento, CA 95817-1541
Phone (916) 734-2145

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
I20251202002804 CA Practitioner - Physician Assistant 7719470376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

414 G St
Suite 112
Marysville, CA 95901-5669
Phone (530) 674-8031

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
67236CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network CurrentSince Jan 1, 2026 Accepting new patients
Adventist Health Physicians Network CurrentSince Jan 1, 2026 Accepting new patients

Locations

414 G St
Ste 112
Marysville, CA 95901
Phone (530) 674-8031

1007 Live Oak Blvd
Ste B2
Yuba City, CA 95991
Phone (530) 671-8718

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1738800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1336953579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 NATOMA STATION DR APT 138",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956307983",
            "telephone_number": "510-798-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 G ST STE 112",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959015669",
            "telephone_number": "530-749-6650",
            "fax_number": "530-749-6651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2570 48th St",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958171541",
            "country_code": "US",
            "telephone_number": "916-734-2145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEEFER VAN LEEUWEN",
        "first_name": "ZOE",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-06",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "67236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, CA

Sources for this page

Verify at the official NPI Registry.