Active NPI
Leonel Apodaca Jr., MD
- Internal Medicine Physician
- Coalinga, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G66374
- Practice address
- 1145 Phelps Avenue
# 104
Coalinga, CA 93210 - Phone
- (559) 935-4374
- Fax
- (559) 935-4316
- NPI assigned
- Aug 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G66374 | CA | Primary |
Addresses
Primary practice location
1145 Phelps Avenue
# 104
Coalinga, CA 93210
Mailing address
P O Box 495
Coalinga, CA 93210
Phone (559) 935-4374
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of California, Irvine, California College of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
36617 Central Ave
Huron, CA 93234
Phone (559) 945-9251
Hospital & facility affiliations
- Adventist Health Home Care Services
- Coalinga Regional Medical Center
- Adventist Health Hanford
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coalinga Valley Health Clinics. Inc | Current | Accepting new patients | |
| Coalinga Valley Health Clinics, Inc | Current | Accepting new patients | |
| Hanford Community Hospital | Past | Accepting new patients |
Locations
1145 Phelps Ave
Ste 104
Coalinga, CA 93210
Phone (559) 935-4374
1145 Phelps Ave
Ste B
Coalinga, CA 93210
Phone (559) 935-4374
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Leonel Apodaca Jr., MD | Rural health clinic | 5% Or Greater Direct Ownership Interest (5%) Corporate Officer Corporate Director W-2 Managing Employee |
Mar 28, 2003 Mar 28, 2003 Mar 28, 2003 Mar 28, 2003 |
| Coalinga Valley Health Clinics, Inc | Rural health clinic | 5% Or Greater Direct Ownership Interest Corporate Director W-2 Managing Employee |
May 23, 2003 May 23, 2003 May 23, 2003 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Point of Service
- Coalinga, CA
- NPI 1396874558
5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee
-
- Point of Service
- Huron, CA
- NPI 1104955483
5% Or Greater Direct Ownership Interest, Corporate Director, W-2 Managing Employee
Organizations & group practices 3
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.
-
- Point of Service
- Coalinga, CA
- NPI 1396874558
-
- Point of Service
- Huron, CA
- NPI 1104955483
-
- General Acute Care Hospital
- Hanford, CA
- NPI 1538141627
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Coalinga, CA
- NPI 1801452941
-
- General Acute Care Hospital
- Hanford, CA
- NPI 1538141627
-
- Home Health Agency
- Hanford, CA
- NPI 1033397336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597968000000",
"number": "1699883157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 495",
"city": "COALINGA",
"state": "CA",
"postal_code": "93210",
"telephone_number": "559-935-4374",
"fax_number": "559-935-4316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1145 PHELPS AVENUE",
"address_2": "# 104",
"city": "COALINGA",
"state": "CA",
"postal_code": "93210",
"telephone_number": "559-935-4374",
"fax_number": "559-935-4316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "APODACA",
"first_name": "LEONEL",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-26",
"last_updated": "2020-08-21",
"certification_date": "2020-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G66374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coalinga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.