Individual provider Active NPI

Eddy Flores de Leon

  • Community Health Worker
  • San Francisco, CA
National Provider Identifier
1992658066
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
1971 Visitacion Ave
San Francisco, CA 94134-2700
Phone
(415) 713-4923
NPI assigned
Feb 18, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X CA Primary

Addresses

Primary practice location

1971 Visitacion Ave
San Francisco, CA 94134-2700

Mailing address

99 Ocean Ave Apt 101
San Francisco, CA 94112-2561
Phone (415) 713-4923

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

NPI Registry JSON

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

{
    "created_epoch": "1771372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1992658066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 OCEAN AVE APT 101",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941122561",
            "telephone_number": "415-713-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1971 VISITACION AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941342700",
            "telephone_number": "415-713-4923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES DE LEON",
        "first_name": "EDDY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-18",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.