Provider Demographics
NPI:1689701104
Name:LEON, JAMES ROSARIO
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:ROSARIO
Last Name:LEON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1000
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93302-1000
Mailing Address - Country:US
Mailing Address - Phone:661-868-8200
Mailing Address - Fax:661-868-8255
Practice Address - Street 1:3300 TRUXTUN AVE
Practice Address - Street 2:SUITE 290
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-3137
Practice Address - Country:US
Practice Address - Phone:661-868-6601
Practice Address - Fax:661-868-6666
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2025-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator