Active NPI
Leonard Rudolph Leon, M.D.
- Obstetrics & Gynecology Physician
- Grass Valley, CA
National Provider Identifier
1942253299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- G32693
- Practice address
- 280 Sierra College Dr
Suite 125
Grass Valley, CA 95945-5763 - Phone
- (530) 273-8486
- Fax
- (530) 271-0505
- NPI assigned
- May 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | G32693 | CA | Primary |
Addresses
Primary practice location
280 Sierra College Dr
Suite 125
Grass Valley, CA 95945-5763
Mailing address
7025 W Cape Final TRL
Marana, AZ 85658-5068
Phone (520) 638-6447
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G326930 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G32693 | CA | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539043200000",
"number": "1942253299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7025 W CAPE FINAL TRL",
"city": "MARANA",
"state": "AZ",
"postal_code": "856585068",
"telephone_number": "520-638-6447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 SIERRA COLLEGE DR",
"address_2": "SUITE 125",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959455763",
"telephone_number": "530-273-8486",
"fax_number": "530-271-0505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEON",
"first_name": "LEONARD",
"middle_name": "RUDOLPH",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2018-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "G32693",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G326930",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grass Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.