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MARY DE LEON
NPI 1467249995
Nurse Practitioner - Critical Care Medicine in Glendale, CA

Active since April 21, 2025
1619 S ADAMS ST, GLENDALE, CA 91205(323) 458-3055 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary De Leon NPPES

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

MARY DE LEON (NPI 1467249995) is an individual critical care medicine provider in Glendale, California, licensed in California (95020893) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1467249995
Entity TypeIndividualFemale
Primary Taxonomy363LC0200X
Provider Legal NameMARY DE LEON
Location Address1619 S ADAMS STGlendale, CA 91205-3608
Mailing Address1619 S Adams StGlendale, CA 91205-3608 · (323) 458-3055
Phone(323) 458-3055
Sole ProprietorYes
Enumeration DateApril 21, 2025
Last NPPES UpdateJuly 10, 2025
NPPES CertifiedJuly 10, 2025
✔ NPI 1467249995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Critical Care MedicinePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LC0200X
License✔ Licensed in CA · 95020893
Also ListedNurse PractitionerTaxonomy 363L00000X · License 95020893 (CA)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 95020893 (CA)
1619 S ADAMS ST, Glendale, CA 91205
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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 Mary De Leon's NPI number?

The NPI number for Mary De Leon is 1467249995. It was assigned to this individual provider in the NPPES registry on April 21, 2025.

Where is Mary De Leon located?

Mary De Leon practices at 1619 S Adams St, Glendale, CA 91205. The listed phone number is (323) 458-3055.

What is Mary De Leon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.

When was this NPI record last updated?

The NPPES record for Mary De Leon was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.