Active NPI
Tate De Leon, MD
- Family Medicine Physician
- Rancho Mirage, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A115841
- Practice address
- 72780 Country Club Dr Ste 305
Rancho Mirage, CA 92270-4149 - Phone
- (760) 837-8748
- Fax
- (760) 837-8749
- NPI assigned
- Jul 8, 2008
- Last updated
- Feb 24, 2022
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A115841 | CA | Primary |
Addresses
Primary practice location
72780 Country Club Dr Ste 305
Rancho Mirage, CA 92270-4149
Mailing address
72780 Country Club Dr Ste 305
Rancho Mirage, CA 92270-4149
Phone (760) 837-8748
Other practice location 1
39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 340-3911
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tdeleon12089@edirect.emc.org | Direct | EISENHOWER MEDICAL CENTER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
72780 Country Club Dr
Suite 305
Rancho Mirage, CA 92270-4149
Phone (760) 837-8748
Hospital & facility affiliations
- Valley Care Home Health, Inc.
- Mission Home Health Palm Desert
- Alma Home Health , Inc
- Advance Specialty Care South, Inc.
- Desert Home Health Services, Inc
- Eisenhower Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.87 of 100
- Quality
- 85.37
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.18
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 19 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A115841 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eisenhower Medical Center | Current | Accepting new patients | |
| Eisenhower Medical Center | Current | Accepting new patients | |
| Eisenhower Medical Center | Current | Accepting new patients | |
| Eisenhower Medical Center | Past | Accepting new patients |
Locations
45280 Seeley Dr
Fl 2
La Quinta, CA 92253
Phone (760) 834-7920
39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911
39000 Bob Hope Dr
Ofc
Rancho Mirage, CA 92270
Phone (760) 333-1813
39300 Bob Hope Dr
Ste 1100
Rancho Mirage, CA 92270
Phone (760) 834-7970
39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053
72201 Country Club Dr
Rancho Mirage, CA 92270
Phone (760) 340-5999
72780 Country Club Dr
Ste 305
Rancho Mirage, CA 92270
Phone (760) 837-8747
Interoperability endpoints
- tdeleon12089@edirect.emc.org
Organizations & group practices 4
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 Eisenhower Health
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1013981554
-
dba Eisenhower Health
- General Acute Care Hospital
- Palm Springs, CA
- NPI 1134424625
-
dba Eisenhower Health
- General Acute Care Hospital
- Cathedral City, CA
- NPI 1629384615
-
dba Eisenhower
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1780835819
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Garden Grove, CA
- NPI 1417332057
-
- Home Health Agency
- Cathedral City, CA
- NPI 1285294876
-
- Home Health Agency
- Palm Springs, CA
- NPI 1740287697
-
dba Eisenhower Health
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1013981554
-
dba Mission Home Health Palm Desert
- Home Health Agency
- Palm Desert, CA
- NPI 1265848683
-
- Home Health Agency
- Palm Desert, CA
- NPI 1730481193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645660800000",
"number": "1912160185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72780 COUNTRY CLUB DR STE 305",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922704149",
"telephone_number": "760-837-8748",
"fax_number": "760-837-8749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72780 COUNTRY CLUB DR STE 305",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922704149",
"telephone_number": "760-837-8748",
"fax_number": "760-837-8749"
}
],
"practiceLocations": [
{
"address_1": "39000 Bob Hope Dr",
"address_purpose": "LOCATION",
"city": "Rancho Mirage",
"state": "CA",
"postal_code": "922703221",
"country_code": "US",
"telephone_number": "760-340-3911",
"fax_number": "760-837-8749",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DE LEON",
"first_name": "TATE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-08",
"last_updated": "2022-02-24",
"certification_date": "2022-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A115841",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tdeleon12089@edirect.emc.org",
"affiliation": "Y",
"affiliationName": "EISENHOWER MEDICAL CENTER",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "72780 Country Club Dr Ste 305",
"city": "Rancho Mirage",
"state": "CA",
"country_code": "US",
"postal_code": "922704149",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rancho Mirage, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.