Individual provider Active NPI

Edwin Romel Soriano De Leon, M.D.

  • Psychiatry Physician
  • The Dalles, OR
National Provider Identifier
1871735464
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A118530 Issued in CA
Practice address
1060 Webber St
The Dalles, OR 97058-3749
Phone
(541) 296-5452
NPI assigned
Mar 30, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A118530 CA Primary
Child & Adolescent Psychiatry Physician 2084P0804X A118530 CA

Addresses

Primary practice location

1060 Webber St
The Dalles, OR 97058-3749

Mailing address

1060 Webber St
The Dalles, OR 97058-3749
Phone (541) 296-5452

Other practice location 1

208 W Highland Ave
San Bernardino, CA 92405-4018
Phone (909) 886-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140714002334 CA Practitioner - Psychiatry 7618192303 Reassigns benefits to 6 organizations
I20240102000889 OR Practitioner - Psychiatry 7618192303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pih Health PhysiciansGroup PAC ID 8426951328, 616 clinicians
Saint Agnes Medical CenterGroup PAC ID 3971409335, 45 clinicians
Department of State HospitalsGroup PAC ID 9638174238, 275 clinicians
Rideout Memorial HospitalGroup PAC ID 9234036088, 88 clinicians

Practice addresses (Care Compare)

11500 Brookshire Ave
Downey, CA 90241-4917
Phone (562) 904-5000

1225 Wilshire Blvd
Los Angeles, CA 90017-1901
Phone (213) 977-2121

12401 Washington Blvd
Whittier, CA 90602-1006
Phone (562) 698-0811

12675 La Mirada Blvd
Suite 201And401
La Mirada, CA 90638-2200
Phone (562) 903-7339

1303 E Herndon Ave
Fresno, CA 93720-3309
Phone (559) 450-3301

3102 E Highland Ave
Patton, CA 92369-7813
Phone (916) 651-8811

726 4TH St
Marysville, CA 95901-5656
Phone (530) 740-1900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.61 of 100Reported as group
Quality
58.7
Improvement activities
40
Cost
75.08

Merit-based Incentive Payment System (MIPS)

Final score
91.08 of 100Reported as group
Quality
83.33
Improvement activities
40
Cost
76.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A118530CAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Columbia Center for Living CurrentSince Oct 15, 2023 Accepting new patients
Department of State Hospitals CurrentSince Jul 31, 2024 Accepting new patients
Pih Health Physicians Current Accepting new patients
County of Riverside CurrentSince Jul 30, 2014 Accepting new patients
Cep America - Psychiatry PC Psychiatry Current Accepting new patients
Mid-Columbia Center for Living CurrentSince Oct 15, 2023 Accepting new patients
Pih Health Physicians CurrentSince Mar 1, 2021 Accepting new patients
Rideout Memorial Hospital CurrentSince Apr 10, 2024 Accepting new patients
Cep America - Psychiatry PC Psychiatry CurrentSince Apr 8, 2024 Accepting new patients
Department of State Hospitals CurrentSince Jul 31, 2024 Accepting new patients
Department of State Hospitals Current Accepting new patients
Cep America - Psychiatry PC Psychiatry CurrentSince Apr 8, 2024 Accepting new patients
County of Riverside CurrentSince Jul 30, 2014 Accepting new patients
Trinity Home Health Services CurrentSince May 24, 2024 Accepting new patients
Saint Agnes Medical Center CurrentSince May 24, 2024 Accepting new patients
County of Riverside Current Accepting new patients
Pih Health Physicians CurrentSince Mar 1, 2021 Accepting new patients
Edwin Romel S. de Leon, M.D., Inc. Child & Adolescent Psychiatry Past Accepting new patients
Mid-Columbia Center for Living PastSince Oct 15, 2023 Accepting new patients

Locations

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800

2540 East St
Concord, CA 94520
Phone (925) 674-2228

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

7202 N Millbrook Ave
Ste 2
Fresno, CA 93720
Phone (559) 449-2930

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

726 4th St
Marysville, CA 95901
Phone (530) 491-9491

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

3102 E Highland Ave
Patton, CA 92369
Phone (909) 425-7000

769 W Blaine St
Ste B
Riverside, CA 92507
Phone (951) 358-4705

2085 Rustin Ave
Ste 1
Riverside, CA 92507
Phone (951) 955-7320

9990 County Farm Rd
Ste 2
Riverside, CA 92503
Phone (951) 358-4790

2085 Rustin Ave
Riverside, CA 92507
Phone (800) 499-3008

1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

900 Hyde St
San Francisco, CA 94109
Phone (415) 353-6000

1400 E Church St
Santa Maria, CA 93454
Phone (805) 739-3000

1401 E Main St
Santa Maria, CA 93454
Phone (805) 349-0198

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

1610 Woods Ct
Hood River, OR 97031
Phone (541) 386-2620

1060 Webber St
The Dalles, OR 97058

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: edeleon660136@hisp.ehr.sutterhealth.org
  • Direct secure messaging: edeleon196577@direct.ohsu.edu

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 4

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": "1238371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1871735464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 WEBBER ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583749",
            "telephone_number": "541-296-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 WEBBER ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970583749",
            "telephone_number": "541-296-5452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 W Highland Ave",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924054018",
            "country_code": "US",
            "telephone_number": "909-886-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LEON",
        "first_name": "EDWIN ROMEL",
        "middle_name": "SORIANO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-30",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A118530",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A118530",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Dalles, OR

Sources for this page

Verify at the official NPI Registry.