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CHARLOTTEE DE LEOZ
NPI 1851092415
Nurse Practitioner in Azusa, CA

Active since March 10, 2023PECOS Enrolled
970 PARKSIDE ST, AZUSA, CA 91702(626) 991-6729 Get Directions Write a Review

NPPES record last updated: March 10, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Charlottee De Leoz NPPES

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

CHARLOTTEE DE LEOZ (NPI 1851092415) is an individual nurse practitioner in Azusa, California, licensed in California (95024455) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851092415
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCHARLOTTEE DE LEOZ
Location Address970 PARKSIDE STAzusa, CA 91702-4242
Mailing Address970 Parkside StAzusa, CA 91702-4242 · (626) 991-6729
Phone(626) 991-6729
Sole ProprietorNo
Enumeration DateMarch 10, 2023
NPPES CertifiedMarch 10, 2023
✔ NPI 1851092415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95024455
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
970 PARKSIDE ST, Azusa, CA 91702
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charlottee De Leoz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Charlottee De Leoz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Global Integrated Medical Group, Inc.
4.1 mi
Primary Care
818 W CAMERON AVE
West Covina, CA 91790
  • Reassigned Medicare billing, California enrollment
  • 18 clinicians in this Medicare group
NPI 1578019485 (626) 757-8241
Usc Care Medical Group, Inc
17 mi
General Practice
1520 SAN PABLO ST
Los Angeles, CA 90033
  • Reassigned Medicare billing, California enrollment
  • 2,445 clinicians in this Medicare group
NPI 1902846306 (323) 442-5955

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Charlottee De Leoz's NPI number?

The NPI number for Charlottee De Leoz is 1851092415. It was assigned to this individual provider in the NPPES registry on March 10, 2023.

Where is Charlottee De Leoz located?

Charlottee De Leoz practices at 970 Parkside St, Azusa, CA 91702. The listed phone number is (626) 991-6729.

What is Charlottee De Leoz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Charlottee De Leoz enrolled in Medicare?

Yes. Charlottee De Leoz is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Charlottee De Leoz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charlottee De Leoz reassigns Medicare benefits to 2 organizations: Global Integrated Medical Group, Inc. (West Covina, CA) and Usc Care Medical Group, Inc (Los Angeles, CA). Each 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 Charlottee De Leoz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Charlottee De Leoz was last updated on March 10, 2023. 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.