Individual provider Active NPI

Ronald Lawrence Leon, M.D.

  • Psychiatry Physician
  • Antioch, CA
National Provider Identifier
1467418830
Registry record updated Jan 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A40420 Issued in CA
Practice address
3432 Hillcrest Ave
Suite 175
Antioch, CA 94531-6301
Phone
(925) 778-1444
Fax
(925) 778-9014
NPI assigned
Apr 25, 2006
Last updated
Jan 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X AO40420 CA
Psychiatry Physician 2084P0800X A40420 CA Primary

Addresses

Primary practice location

3432 Hillcrest Ave
Suite 175
Antioch, CA 94531-6301

Mailing address

3432 Hillcrest Ave
Suite 175
Antioch, CA 94531-6301
Phone (925) 778-1444

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051228000752 CA Practitioner - Psychiatry 5092737460 Reassigns benefits to 2 organizations
Practice locations: Antioch, CA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Wisconsin School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Contra Costa CountyGroup PAC ID 8628052974, 74 clinicians

Practice addresses (Care Compare)

2311 Loveridge Rd
FL 2
Pittsburg, CA 94565-5117
Phone (925) 431-2600

3432 Hillcrest Ave
Suite 175
Antioch, CA 94531-6343
Phone (925) 778-1444

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
40420CAMDLicensed Psychiatric Technician
AO40420CAMDSpecialist
A40420CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Contra Costa County CurrentSince Jan 31, 2011 Accepting new patients
Contra Costa County CurrentSince Jan 31, 2011 Accepting new patients
Ronald L Leon MD Inc Psychiatry CurrentSince Jan 26, 2016 Accepting new patients

Locations

3432 Hillcrest Ave
Ste 175
Antioch, CA 94531
Phone (925) 234-3993

2311 Loveridge Rd
Fl 2
Pittsburg, CA 94565
Phone (925) 431-2600

2523 El Portal Dr
Ste 206
San Pablo, CA 94806
Phone (510) 215-3730

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1467418830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3432 HILLCREST AVE",
            "address_2": "SUITE 175",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945316301",
            "telephone_number": "925-778-1444",
            "fax_number": "925-778-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3432 HILLCREST AVE",
            "address_2": "SUITE 175",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945316301",
            "telephone_number": "925-778-1444",
            "fax_number": "925-778-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON",
        "first_name": "RONALD",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "AO40420",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A40420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, CA

Sources for this page

Verify at the official NPI Registry.