Organization Active NPI

Alfredoleonmdinc

  • Internal Medicine Physician
  • Stockton, CA
National Provider Identifier
1699857896
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ALFREDOLEONMDINC
Practice address
420 W Acacia St
#6
Stockton, CA 95203-2441
Phone
(209) 948-0531
Fax
(209) 948-4721
NPI assigned
Oct 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Alfredo Leon, MD
Title
Alfrdoleonmdinc
Phone
(209) 948-0531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

420 W Acacia St
#6
Stockton, CA 95203-2441

Mailing address

420 W Acacia St
#6
Stockton, CA 95203-2441
Phone (209) 948-0531

National Provider Directory

National Provider Directory

Locations

420 W Acacia St
Ste 6
Stockton, CA 95203
Phone (209) 944-5472

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699857896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W ACACIA ST",
            "address_2": "#6",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952032441",
            "telephone_number": "209-948-0531",
            "fax_number": "209-948-4721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W ACACIA ST",
            "address_2": "#6",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952032441",
            "telephone_number": "209-948-0531",
            "fax_number": "209-948-4721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFREDOLEONMDINC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEON",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_title_or_position": "ALFRDOLEONMDINC",
        "authorized_official_telephone_number": "209-948-0531",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • 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.