Active NPI
James Dana Leo, M.D.
- Internal Medicine Physician
- Prescott, AZ
National Provider Identifier
1730212010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 61337
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 49243 | CA | MD | Dentist |
| 61337 | AZ | MD | Internal Medicine Physician |
| G49243 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James D. Leo, M.D., Inc. | Internal Medicine | Current | Accepting new patients |
| Premier Medical Care, Inc. | Internal Medicine | Past | Accepting new patients |
| James Leo, M.D., PLLC | Internal Medicine | Past | 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
- 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.
-
- Internal Medicine Physician
- Prescott, AZ
- NPI 1972221430
-
- Internal Medicine Physician
- Long Beach, CA
- NPI 1407989247
-
- Internal Medicine Physician
- Long Beach, CA
- NPI 1952434250
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.