Active NPI
Jacob Kyle Leone, ND
- Naturopath
- Novato, CA
National Provider Identifier
1427106905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- ND-219
- Practice address
- 1748 Novato Blvd
Suite 100
Novato, CA 94947 - Phone
- (415) 484-1240
- Fax
- (866) 484-0518
- NPI assigned
- Jan 8, 2007
- 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 |
|---|---|---|---|---|
| Naturopath | 175F00000X | ND-219 | CA | Primary |
Addresses
Primary practice location
1748 Novato Blvd
Suite 100
Novato, CA 94947
Mailing address
448 Ignacio Blvd # 294
Novato, CA 94949-6085
Phone (415) 484-1240
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND-219 | CA | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569196800000",
"number": "1427106905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "448 IGNACIO BLVD # 294",
"city": "NOVATO",
"state": "CA",
"postal_code": "949496085",
"telephone_number": "415-484-1240",
"fax_number": "866-484-0518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1748 NOVATO BLVD",
"address_2": "SUITE 100",
"city": "NOVATO",
"state": "CA",
"postal_code": "94947",
"telephone_number": "415-484-1240",
"fax_number": "866-484-0518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONE",
"first_name": "JACOB",
"middle_name": "KYLE",
"name_prefix": "Dr.",
"credential": "ND",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2019-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CA",
"license": "ND-219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Novato, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.