Individual provider Active NPI

Zachary Randolph Leonard, PA-C

  • Physician Assistant
  • Prescott, AZ
National Provider Identifier
1932452133
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5202 Issued in AZ
Practice address
1947 Commerce Center Cir Ste a
Prescott, AZ 86301-4500
Phone
(928) 458-5723
Fax
(928) 237-1787
NPI assigned
Oct 25, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5202 AZ Primary

Addresses

Primary practice location

1947 Commerce Center Cir Ste a
Prescott, AZ 86301-4500

Mailing address

1947 Commerce Center Cir Ste a
Prescott, AZ 86301-4500
Phone (928) 458-5723

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130718000802 AZ Practitioner - Physician Assistant 6305087255 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prescott Complete Care, PLLCGroup PAC ID 3476982224, 5 clinicians

Practice addresses (Care Compare)

1947 Commerce Ctr Cir
Suite a
Prescott, AZ 86301-4500
Phone (928) 458-5723

Hospital & facility affiliations

  • Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5202AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nextcare Arizona I JV LLC Current Accepting new patients
Allergy & Immunology Specialists, LLC PastSince May 7, 2023 Accepting new patients

Locations (25 of 30)

2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172

13075 W McDowell Rd
Ste D106
Avondale, AZ 85392
Phone (623) 547-0522

1683 E Florence Blvd
Ste 7
Casa Grande, AZ 85122
Phone (520) 876-0800

600 S Dobson Rd
Ste C26
Chandler, AZ 85224
Phone (480) 814-1560

450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574

1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844

9494 W Northern Ave
Ste 101
Glendale, AZ 85305
Phone (623) 872-2226

10240 N 43rd Ave
Ste 3
Glendale, AZ 85302
Phone (623) 742-2060

18589 N 59th Ave
Ste 101
Glendale, AZ 85308
Phone (602) 547-2600

1066 N Power Rd
Ste 101
Mesa, AZ 85205
Phone (480) 807-0130

535 E McKellips Rd
Ste 101
Mesa, AZ 85203
Phone (480) 636-7855

20470 N Lake Pleasant Rd
Ste 102
Peoria, AZ 85382
Phone (623) 825-4600

20950 N Tatum Blvd
Ste 190
Phoenix, AZ 85050
Phone (480) 476-0021

3229 E Greenway Rd
Ste 102
Phoenix, AZ 85032
Phone (602) 788-3285

5920 W McDowell Rd
Phoenix, AZ 85035
Phone (480) 455-2235

4730 E Indian School Rd
Ste 211
Phoenix, AZ 85018
Phone (602) 354-3491

1701 E Thomas Rd
Ste A104
Phoenix, AZ 85016
Phone (602) 845-4445

2062 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 443-5103

3051 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 772-2591

2122 N Scottsdale Rd
Scottsdale, AZ 85257
Phone (480) 889-3570

7425 E Shea Blvd
Ste 108
Scottsdale, AZ 85260
Phone (480) 348-1060

2530 W State Route 89A
Ste A
Sedona, AZ 86336
Phone (520) 203-4813

9745 W Bell Rd
Ste 105
Sun City, AZ 85351
Phone (623) 742-2999

914 N Scottsdale Rd
Ste 104
Tempe, AZ 85288
Phone (480) 776-1620

4280 N Oracle Rd
Ste 100
Tucson, AZ 85705
Phone (520) 887-0095

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1351123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1932452133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1947 COMMERCE CENTER CIR STE A",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863014500",
            "telephone_number": "928-458-5723",
            "fax_number": "928-237-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1947 COMMERCE CENTER CIR STE A",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863014500",
            "telephone_number": "928-458-5723",
            "fax_number": "928-237-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "ZACHARY",
        "middle_name": "RANDOLPH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-25",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.