Individual provider Active NPI

James Dana Leo, M.D.

  • Internal Medicine Physician
  • Prescott, AZ
National Provider Identifier
1730212010
Registry record updated Feb 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
61337 Issued in AZ
Practice address
810 Ainsworth Dr
Prescott, AZ 86301-1612
Phone
(928) 463-6831
Fax
(866) 342-0292
NPI assigned
Mar 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G49243 CA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X G49243 CA
Internal Medicine Physician 207R00000X 61337 AZ Primary

Addresses

Primary practice location

810 Ainsworth Dr
Prescott, AZ 86301-1612

Mailing address

PO Box 11689
Prescott, AZ 86304-1689
Phone (928) 463-6831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Feb 3, 2016 through Feb 3, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49243CAMDDentist
61337AZMDInternal Medicine Physician
G49243CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
James D. Leo, M.D., Inc. Internal Medicine CurrentSince Jan 1, 2004 Accepting new patients
Premier Medical Care, Inc. Internal Medicine Past Accepting new patients
James Leo, M.D., PLLC Internal Medicine PastSince Aug 28, 2022 Accepting new patients

Locations

2840 Long Beach Blvd
Ste 408
Long Beach, CA 90806
Phone (562) 424-2008

2650 Elm Ave
Ste 307
Long Beach, CA 90806
Phone (562) 426-6220

Interoperability endpoints

  • Direct secure messaging: james.leo@497514710630404.direct.elationemr.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771632000000",
    "number": "1730212010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11689",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863041689",
            "telephone_number": "928-463-6831",
            "fax_number": "866-342-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 AINSWORTH DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011612",
            "telephone_number": "928-463-6831",
            "fax_number": "866-342-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEO",
        "first_name": "JAMES",
        "middle_name": "DANA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2026-02-21",
        "certification_date": "2026-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G49243",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "G49243",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "61337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.