Recto F. Deleon, M.D. Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A24912 Issued in CA

Legal business name

RECTO F. DELEON, M.D. INC.

Practice address

1130 Coffee Rd
Ste 9B
Modesto, CA 95355-4228

Phone

(209) 527-7677

Fax

(209) 527-2306

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Recto Fernandez Deleon, M.D.

Title

Physician

Phone

(209) 527-7677

Specialties & licenses 1

Addresses

Other names 1

• NONE Doing business as

Locations

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508075482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 COFFEE RD",
            "address_2": "STE 9B",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953554228",
            "telephone_number": "209-527-7677",
            "fax_number": "209-527-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 COFFEE RD",
            "address_2": "STE 9B",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953554228",
            "telephone_number": "209-527-7677",
            "fax_number": "209-527-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECTO F. DELEON, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DELEON",
        "authorized_official_first_name": "RECTO",
        "authorized_official_middle_name": "FERNANDEZ",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "209-527-7677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A24912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NONE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Modesto, CA
• Providers in Modesto, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.