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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LEON MEDICAL LLC
NPI 1457201147
Clinic/Center - Primary Care in Las Vegas, NV

Active since February 02, 2026CLIA 29D2343987 · Waiver
3430 E FLAMINGO RD STE 104, LAS VEGAS, NV 89121(702) 331-2094(702) 331-3612 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 12, 2026, Feb 2, 2026 (2 updates tracked since 2026).

About Leon Medical Llc NPPES

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

LEON MEDICAL LLC (NPI 1457201147) is a healthcare organization registered as a primary care in Las Vegas, Nevada and active in the NPI registry since February 2026. The organization holds a CLIA Waiver certificate valid through May 13, 2028 and lists Amauri Santiago Rosales Ponce De Leon, Owner, as its authorized official.

NPPES Registry Identity

NPI1457201147
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLEON MEDICAL LLC
Location Address3430 E FLAMINGO RD STE 104Las Vegas, NV 89121-5070
Mailing Address3430 E Flamingo Rd Ste 104Las Vegas, NV 89121-5070 · (702) 331-2094 · Fax (702) 331-3612
Phone(702) 331-2094
Fax(702) 331-3612
Organization SubpartNo
Authorized OfficialAmauri Santiago Rosales Ponce De LeonOwner · (702) 331-2094
Enumeration DateFebruary 2, 2026
Last NPPES UpdateOctober 12, 20262 updates tracked since enumeration
NPPES CertifiedOctober 12, 2026
✔ NPI 1457201147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedFamily MedicineTaxonomy 207Q00000X
3430 E FLAMINGO RD STE 104, Las Vegas, NV 89121
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leon Medical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Leon Medical LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Amauri Rosales Ponce De Leon, APRN-CNP
Nurse Practitioner
NPI 1205454295
3430 E FLAMINGO RD STE 104
Las Vegas, NV 89121
(702) 703-9070
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 29D2343987

Leon Medical LLC · Las Vegas, NV
Active · expires May 13, 2028
CLIA Number29D2343987
Laboratory TypePhysician Office
Certificate Effective DateMay 14, 2026
Certificate Expiration DateMay 13, 2028
Laboratory DirectorAmauri S Rosales Ponce Deleon
Laboratory Phone(702) 331-2094
Laboratory LocationLeon Medical LLC3430 E Flamingo Rd Suite 104, Las Vegas, NV 89121
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Medical LLC's NPI number?

The NPI number for Leon Medical LLC is 1457201147. It was assigned to this organization in the NPPES registry on February 2, 2026.

Where is Leon Medical LLC located?

Leon Medical LLC is located at 3430 E Flamingo Rd Ste 104, Las Vegas, NV 89121. The listed phone number is (702) 331-2094.

What is Leon Medical LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Leon Medical LLC enrolled in Medicare?

Yes. Leon Medical LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Leon Medical LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Leon Medical LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Leon Medical LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2343987) is associated with this NPI, valid through May 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Leon Medical LLC was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.