Individual provider Active NPI

Jorge De Leon, D.C.

  • Chiropractor
  • Lemon Grove, CA
National Provider Identifier
1679720189
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
D.C. 26706 Issued in CA
Practice address
6547 Macarthur Dr
Lemon Grove, CA 91945-1323
Phone
(805) 742-6228
NPI assigned
Aug 26, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X D.C. 26706 CA Primary

Addresses

Primary practice location

6547 Macarthur Dr
Lemon Grove, CA 91945-1323

Mailing address

6547 Macarthur Dr
Lemon Grove, CA 91945-1323
Phone (805) 742-6228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241023001236 CA Practitioner - Chiropractic 3779519426 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D.C. 26706CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Systems, Inc. CurrentSince Oct 16, 2024 Accepting new patients

Locations

22675 Alessandro Blvd
Moreno Valley, CA 92553
Phone (951) 571-2300

21801 Alessandro Blvd
Moreno Valley, CA 92553
Phone (951) 571-2300

Interoperability endpoints

  • Direct secure messaging: jorge.deleon.p1@direct.chsica.nextgenshare.com
  • Direct secure messaging: jorge.deleondc.p1@direct.jwch.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219708800000",
    "number": "1679720189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6547 MACARTHUR DR",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919451323",
            "telephone_number": "805-742-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6547 MACARTHUR DR",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919451323",
            "telephone_number": "805-742-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LEON",
        "first_name": "JORGE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-26",
        "last_updated": "2008-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "D.C. 26706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemon Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.