Active NPI
So Deleon PC
- Adult Health Nurse Practitioner
- Las Vegas, NV
National Provider Identifier
1356119770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- Legal business name
- SO DELEON PC
- Practice address
- 2350 S Jones Blvd Ste 210
Las Vegas, NV 89146-3103 - Phone
- (725) 238-3987
- NPI assigned
- Dec 14, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Allan Michael De Leon
- Title
- President
- Phone
- (702) 972-7061
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | Primary |
Addresses
Primary practice location
2350 S Jones Blvd Ste 210
Las Vegas, NV 89146-3103
Mailing address
2350 S Jones Blvd Ste 210
Las Vegas, NV 89146-3103
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6539 Las Vegas Blvd S
Unit 110
Las Vegas, NV 89119
Phone (725) 238-3987
2350 S Jones Blvd
Ste 210
Las Vegas, NV 89146
Phone (725) 238-3987
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760400000000",
"number": "1356119770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 S JONES BLVD STE 210",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891463103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 S JONES BLVD STE 210",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891463103",
"telephone_number": "725-238-3987"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SO DELEON PC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-14",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A",
"authorized_official_last_name": "DE LEON",
"authorized_official_first_name": "ALLAN MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "702-972-7061"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.