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LEON SAMUEL MANCILLA
NPI 1376140590
Peer Specialist in San Diego, CA

Active since October 01, 2020
5555 RESERVOIR DR, SAN DIEGO, CA 92120(619) 822-1800 Get Directions Write a Review

NPPES record last updated: October 1, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Leon Samuel Mancilla NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEON SAMUEL MANCILLA (NPI 1376140590) is an individual peer specialist in San Diego, California and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1376140590
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameLEON SAMUEL MANCILLA
Location Address5555 RESERVOIR DRSan Diego, CA 92120-5134
Mailing Address5555 Reservoir DrSan Diego, CA 92120-5134 · (619) 822-1800
Phone(619) 822-1800
Sole ProprietorYes
Enumeration DateOctober 1, 2020
NPPES CertifiedSeptember 17, 2020
✔ NPI 1376140590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

5555 RESERVOIR DR, San Diego, CA 92120
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Other Names 1

Former Name (1)Leon Samuel Loeb-mancilla

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM PATRICK MANN MD
Internal Medicine (Cardiovascular Disease)
5555 RESERVOIR DR, STE 200
SAN DIEGO, CA 92120
San Diego County (619) 287-4813
BIJAN RAZI M.D.
Specialist
5555 RESERVOIR DR, SUITE 100
SAN DIEGO, CA 92120
San Diego County (619) 265-0200
DR. MARK ALLEN TAPSCOTT D.O.
Specialist
5555 RESERVOIR DR, SUITE 203
SAN DIEGO, CA 92120
San Diego County (619) 287-2590
DR. MYLOAN THI VU M.D.
Pediatrics
5555 RESERVOIR DR, SUITE 210
SAN DIEGO, CA 92120
San Diego County (619) 582-9072
PARVATHI TIRUVILUAMALA MD
Specialist
5555 RESERVOIR DR, 201
SAN DIEGO, CA 92120
San Diego County (858) 866-0245
WILLIAM N BURDINE, III R.PH
Pharmacist
5555 RESERVOIR DR, SUITE #114
SAN DIEGO, CA 92120
San Diego County (619) 287-5035
DR. JOHN R WILKINSON M.D.
Specialist
5555 RESERVOIR DR, SUITE 207
SAN DIEGO, CA 92120
San Diego County (619) 255-1754
FRANK J. STELLA, M.D., A MEDICAL CORP.
Internal Medicine (Nephrology)
5555 RESERVOIR DR, STE 207
SAN DIEGO, CA 92120
San Diego County (619) 287-0732

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leon Mancilla's NPI number?

The NPI number for Leon Mancilla is 1376140590. It was assigned to this individual provider in the NPPES registry on October 1, 2020. The provider is also known as Leon Samuel Loeb-Mancilla.

Where is Leon Mancilla located?

Leon Mancilla practices at 5555 Reservoir Dr, San Diego, CA 92120. The listed phone number is (619) 822-1800.

What is Leon Mancilla's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Leon Mancilla was last updated on October 1, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.