Individual provider Active NPI

Kimberly De Leon

  • Licensed Vocational Nurse
  • Oceanside, CA
National Provider Identifier
1831908870
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
746648 Issued in CA
Practice address
321 Cassidy St
Oceanside, CA 92054-5314
Phone
(760) 721-2171
NPI assigned
Jan 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 746648 CA Primary

Addresses

Primary practice location

321 Cassidy St
Oceanside, CA 92054-5314

Mailing address

22337 Lemon St
Wildomar, CA 92595-8385
Phone (951) 564-8810

Other practice location 1

321 Cassidy St
Oceanside, CA 92054-5314
Phone (760) 721-2171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
746648CAMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Community Research Foundation Inc PastSince Jan 5, 2025 Accepting new patients
Community Research Foundation Inc PastSince Jan 5, 2025 Accepting new patients

Organizations & group practices 2

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": "1735862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1831908870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22337 LEMON ST",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925958385",
            "telephone_number": "951-564-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 CASSIDY ST",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920545314",
            "telephone_number": "760-721-2171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 Cassidy St",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920545314",
            "country_code": "US",
            "telephone_number": "760-721-2171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LEON",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "746648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.