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EVERARDO LEON
NPI 1770211666
Student in an Organized Health Care Education/Training Program in San Quentin, CA

Active since August 10, 2022PECOS EnrolledAccepts Medicare Assignment
100 MAIN ST, SAN QUENTIN, CA 94964(415) 250-7289 Get Directions Write a Review

NPPES record last updated: August 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 18, 2022, Aug 10, 2022 (2 updates tracked since 2022).

About Everardo Leon NPPES

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

EVERARDO LEON (NPI 1770211666) is an individual student in an organized health care education/training program in San Quentin, California and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1770211666
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameEVERARDO LEON
Location Address100 MAIN STSan Quentin, CA 94964
Mailing Address1173 Grizzly Peak BlvdBerkeley, CA 94708-1740 · (323) 365-1341
Phone(415) 250-7289
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 10, 2022
Last NPPES UpdateAugust 18, 20222 updates tracked since enumeration
NPPES CertifiedAugust 17, 2022
✔ NPI 1770211666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
100 MAIN ST, San Quentin, CA 94964
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Everardo Leon is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830629195
PECOS Enrollment IDI20250217000558
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

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

MADELEINE CHAO
Student in an Organized Health Care Education/Training Program
100 MAIN ST
SAN QUENTIN, CA 94964
Marin County (518) 867-2112
STEPHEN F MARTON PSYD
Psychologist (Clinical)
100 MAIN ST
SAN QUENTIN, CA 94964
Marin County (415) 454-1460

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 Everardo Leon's NPI number?

The NPI number for Everardo Leon is 1770211666. It was assigned to this individual provider in the NPPES registry on August 10, 2022.

Where is Everardo Leon located?

Everardo Leon practices at 100 Main St, San Quentin, CA 94964. The listed phone number is (415) 250-7289.

What is Everardo Leon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Everardo Leon enrolled in Medicare?

Yes. Everardo Leon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Everardo Leon was last updated on August 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.