Active NPI
Kathleen Lopez Leon, DMD
- Dentist
- Yuba City, CA
National Provider Identifier
1841852837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 103827
- Practice address
- 2129 Stonewater Dr
Yuba City, CA 95991-8452 - Phone
- (702) 467-3639
- NPI assigned
- Jul 1, 2019
- Last updated
- Jul 1, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 103827 | CA | Primary |
Addresses
Primary practice location
2129 Stonewater Dr
Yuba City, CA 95991-8452
Mailing address
2129 Stonewater Dr
Yuba City, CA 95991-8452
Phone (702) 467-3639
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
| License | State | Type | Specialty |
|---|---|---|---|
| 103827 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561939200000",
"number": "1841852837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2129 STONEWATER DR",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "959918452",
"telephone_number": "702-467-3639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2129 STONEWATER DR",
"city": "YUBA CITY",
"state": "CA",
"postal_code": "959918452",
"telephone_number": "702-467-3639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEON",
"first_name": "KATHLEEN",
"middle_name": "LOPEZ",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-01",
"last_updated": "2019-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "103827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yuba City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.