Active NPI
Luis Gerardo De Leon Jr.
- Rehabilitation Practitioner
- Clovis, CA
National Provider Identifier
1902768542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 1797 San Jose Ave
Clovis, CA 93611-3078 - Phone
- (559) 790-2271
- NPI assigned
- Dec 2, 2025
- Last updated
- Dec 2, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | CA | Primary |
Addresses
Primary practice location
1797 San Jose Ave
Clovis, CA 93611-3078
Mailing address
1187 N Willow Ave Ste 103
Clovis, CA 93611-4411
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 2ND Home Incorporated | Current | Accepting new patients | |
| 2ND Home Incorporated | Past | Accepting new patients |
Locations
1187 N Willow Ave
Ste 103
Clovis, CA 93611
Phone (559) 285-9344
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba 2nd Home, Inc.-San Jose Facility
- Mental Illness Community Based Residential Treatment Facility
- Clovis, CA
- NPI 1730716952
-
dba 2nd Home, Inc.-Tenaya Facility
- Mental Illness Community Based Residential Treatment Facility
- Fresno, CA
- NPI 1346877594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764633600000",
"number": "1902768542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1187 N WILLOW AVE STE 103",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936114411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1797 SAN JOSE AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936113078",
"telephone_number": "559-790-2271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LEON",
"first_name": "LUIS",
"middle_name": "GERARDO",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-12-02",
"last_updated": "2025-12-02",
"certification_date": "2025-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clovis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.