Individual provider Active NPI

Arturo Nicolas De Leon, FNP-C

  • Family Nurse Practitioner
  • Lodi, CA
National Provider Identifier
1437649779
Registry record updated May 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NFP95008771 Issued in CA
Practice address
1235 W Vine St Ste 22
Lodi, CA 95240-5144
Phone
(209) 334-8520
Fax
(209) 334-2109
NPI assigned
May 12, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95008771 CA
Family Nurse Practitioner 363LF0000X NFP95008771 CA Primary

Addresses

Primary practice location

1235 W Vine St Ste 22
Lodi, CA 95240-5144

Mailing address

8872 Bergamo Cir
Stockton, CA 95212-3050
Phone (209) 327-6332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95008771CAMDFamily Nurse Practitioner
NFP95008771CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1526083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526083200000",
    "number": "1437649779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8872 BERGAMO CIR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952123050",
            "telephone_number": "209-327-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 W VINE ST STE 22",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952405144",
            "telephone_number": "209-334-8520",
            "fax_number": "209-334-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LEON",
        "first_name": "ARTURO",
        "middle_name": "NICOLAS",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-12",
        "last_updated": "2018-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95008771",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NFP95008771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, CA

Sources for this page

Verify at the official NPI Registry.