Mayreni Leon, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F02180077 Issued in CA

Practice address

19059 Bear Valley Rd
Apple Valley, CA 92308-2716

Phone

(760) 515-5000

Fax

(760) 340-3848

NPI assigned

Feb 20, 2018

Last updated

Mar 4, 2020By the provider in NPPES

Sex

Female

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

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mayreni.leon.1@29786.direct.athenahealth.com
• Direct secure messaging: mayreni.leon.p4@direct.caremorewest.nextgenshare.com
• Direct secure messaging: mleon@landmarkhealth-direct.org

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.

• Caremore Health Plan

  • Family Nurse Practitioner
  • Apple Valley, CA
  • NPI 1639542194
  NPD (past)
• Destiny Hospice Care, Inc

  • Community Based Hospice Care Agency
  • Moreno Valley, CA
  • NPI 1194027672
  NPD (past)

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1649770389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13557 BALSAWOOD LN",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925553826",
            "telephone_number": "951-259-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19059 BEAR VALLEY RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923082716",
            "telephone_number": "760-515-5000",
            "fax_number": "760-340-3848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12364 Perris Blvd",
            "address_purpose": "LOCATION",
            "city": "Moreno Valley",
            "state": "CA",
            "postal_code": "925577423",
            "country_code": "US",
            "telephone_number": "951-243-8871",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3401 Centre Lake Dr Ste 512",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917611201",
            "country_code": "US",
            "telephone_number": "909-566-0445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEON",
        "first_name": "MAYRENI",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "F02180077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Legacy Therapeutic Services, Inc. (The Children's Clinic)
• Dulce Virginia Leguizamo, MSW
• Desiree T. Lelless
• Alejandra Lemus
• Tina Suzanne Lennon, MD
• Melissa Leon
• Kaylee Marie Lewandowski
• Lewis Center for Educational Research
• Jadevyonna Lewis, CPM, LM
• Kathleen Lewis

• Family Nurse Practitioner in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.