Leovino V. Clomera Jr., PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA18575 Issued in CA

Practice address

1001 N State St
Hemet, CA 92543-1474

Phone

(951) 652-0090

NPI assigned

Oct 7, 2008

Last updated

Oct 7, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: leovino.clomera.1@28873.direct.athenahealth.com

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.

• Osher Resources Inc

  dba Act Medical Group Inc

  • Family Health Clinical Nurse Specialist
  • North Hollywood, CA
  • NPI 1700282654
  Medicare reassignment
• A Life Care Hospice Inc.

  • Community Based Hospice Care Agency
  • Rancho Cucamonga, CA
  • NPI 1992325039
  NPD (past)

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223337600000",
    "number": "1609027754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35574 DENVER CIR",
            "city": "WINCHESTER",
            "state": "CA",
            "postal_code": "925968567",
            "telephone_number": "951-599-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N STATE ST",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925431474",
            "telephone_number": "951-652-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOMERA",
        "first_name": "LEOVINO",
        "middle_name": "V.",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA18575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Citadel Residential Treatment Facility
• Citrus Gardens Leasing LLC (Citrus Gardens Memory Care)
• City of the Heart Psychological Service, a Professional Corporation
• Joy Jean Clark, PH.D.
• Clinicas de Salud del Pueblo Inc. (Hemet medical and Dental Center)
• Karen Cocchiaro
• Cohen Sedgh, Manavi & Pakravan Dental Corp (West Coast Dental Group of Hemet)
• Maria Isabel Cole
• Mary Ellen Cole, R.N.
• Brooke A Coleman, O.D.

• Medical Physician Assistant in Hemet, CA
• Providers in Hemet, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.