Individual provider Active NPI

Leonel Apodaca Jr., MD

  • Internal Medicine Physician
  • Coalinga, CA
National Provider Identifier
1699883157
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G66374 Issued in CA
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

Updated by the provider on Aug 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040521001340 CA Practitioner - Internal Medicine 7113837584 Reassigns benefits to 1 organization

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 Home health agency, Hanford, CA, CCN 057477
  • Coalinga Regional Medical Center Hospital, Coalinga, CA, CCN 051338
  • Adventist Health Hanford Hospital, Hanford, CA, CCN 050121

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Coalinga Valley Health Clinics. Inc CurrentSince Dec 1, 2001 Accepting new patients
Coalinga Valley Health Clinics, Inc CurrentSince Dec 1, 2001 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.

FacilityTypeRoleSince
Leonel Apodaca Jr., MDCoalinga, CA, CCN 553916 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, IncHuron, CA, CCN 553927 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.

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.