Individual provider Active NPI

Flavien Eric Leclere

  • Emergency Medicine Physician
  • Hilton Head Island, SC
National Provider Identifier
1972966828
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
96188 Issued in SC
Practice address
25 Hospital Center Blvd
Hilton Head Island, SC 29926-2793
Phone
(843) 681-6122
NPI assigned
Mar 29, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 60691 AZ
Emergency Medicine Physician 207P00000X 96188 SC Primary
Emergency Medicine Physician 207P00000X A151159 CA
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

25 Hospital Center Blvd
Hilton Head Island, SC 29926-2793

Mailing address

1601 Cummins Dr Ste D
Modesto, CA 95358-6411
Phone (904) 308-7300

Other practice location 1

1350 W Covina Blvd
San Dimas, CA 91773-3245
Phone (909) 599-6811

Other practice location 2

2051 Marengo St
Los Angeles, CA 90033-1352
Phone (323) 409-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 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
I20191015001975 CA Practitioner - Emergency Medicine 3173870342 Reassigns benefits to 3 organizations
I20200922002317 AZ Practitioner - Emergency Medicine 3173870342 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Boston University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America- Arizona, PCGroup PAC ID 1850541970, 89 clinicians
Tec Emergency Physicians of Arizona, LLCGroup PAC ID 6204256084, 155 clinicians

Practice addresses (Care Compare)

14502 W Meeker Blvd
Sun City, AZ 85375-5282
Phone (623) 214-4000

7171 S 51St Ave
Laveen, AZ 85339-2923
Phone (888) 732-3317

Hospital & facility affiliations

  • Banner del E. Webb Medical Center Hospital, Sun City West, AZ, CCN 030093
  • Dignity Health - Arizona General Hospital Hospital, Laveen, AZ, CCN 030136

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A151159CAMDEmergency Medicine Physician
96188SCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America-Arizona, PC Emergency Medicine CurrentSince Mar 30, 2023 Accepting new patients
Montclair Emergency Medical Associates Emergency Medicine CurrentSince Aug 11, 2019 Accepting new patients
Chino Emergency Medical Associates, Inc. Emergency Medicine CurrentSince Aug 11, 2019 Accepting new patients
Cep America - Arizona PC Emergency Medicine CurrentSince Mar 30, 2023 Accepting new patients
Tec Emergency Physicians of Arizona, LLC CurrentSince Jun 13, 2023 Accepting new patients
Cep America- Arizona, PC Emergency Medicine Current Accepting new patients
San Dimas Emergency Medical Associates Inc. Emergency Medicine CurrentSince Nov 1, 2019 Accepting new patients

Locations

5171 W Olive Ave
Glendale, AZ 85302
Phone (480) 732-7540

7171 S 51st Ave
Laveen, AZ 85339
Phone (623) 584-5100

9130 E Elliot Rd
Mesa, AZ 85212
Phone (480) 410-4500

1419 W Hunt Hwy
San Tan Vly, AZ 85143
Phone (480) 245-4300

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

14502 W Meeker Blvd
Sun City West, AZ 85375
Phone (623) 214-4000

5125 S Rural Rd
Tempe, AZ 85282
Phone (480) 306-8780

5451 Walnut Ave
Chino, CA 91710
Phone (909) 464-8600

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

5000 San Bernardino St
Montclair, CA 91763
Phone (909) 625-4111

1350 W Covina Blvd
San Dimas, CA 91773
Phone (909) 394-2745

Organizations & group practices 7

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1972966828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CUMMINS DR STE D",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953586411",
            "telephone_number": "904-308-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HOSPITAL CENTER BLVD",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299262793",
            "telephone_number": "843-681-6122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 W Covina Blvd",
            "address_purpose": "LOCATION",
            "city": "San Dimas",
            "state": "CA",
            "postal_code": "917733245",
            "country_code": "US",
            "telephone_number": "909-599-6811",
            "fax_number": "818-587-2493",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2051 Marengo St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900331352",
            "country_code": "US",
            "telephone_number": "323-409-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LECLERE",
        "first_name": "FLAVIEN",
        "middle_name": "ERIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-29",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "60691",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "96188",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A151159",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton Head Island, SC

Sources for this page

Verify at the official NPI Registry.