1. Home
  2. Directory
  3. California
  4. Madera
  5. Physician Assistant
  6. NPI Profile

NICKOLAS PAUL DE LEON
NPI 1861058430
Physician Assistant - Medical in Madera, CA

Active since May 19, 2019PECOS EnrolledAccepts Medicare Assignment
344 E 6TH ST, MADERA, CA 93638(559) 664-4000(559) 675-5224 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 29, 2021, May 19, 2019 (2 updates tracked since 2019).

About Nickolas Paul De Leon NPPES

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

NICKOLAS PAUL DE LEON (NPI 1861058430) is an individual medical provider in Madera, California, licensed in California (58866) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1861058430
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameNICKOLAS PAUL DE LEON
Location Address344 E 6TH STMadera, CA 93638-3631
Mailing Address344 E 6th StMadera, CA 93638-3631 · (559) 664-4000 · Fax (559) 675-5224
Phone(559) 664-4000
Fax(559) 675-5224
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMay 19, 2019
Last NPPES UpdateNovember 29, 20212 updates tracked since enumeration
NPPES CertifiedNovember 29, 2021
✔ NPI 1861058430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · 58866
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
344 E 6TH ST, Madera, CA 93638
Open in Google Maps ↗

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

Nickolas Paul De 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 ID5991198996
PECOS Enrollment IDI20220216001251
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers13 claims31 services$6.13 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers12 claims14 services$0.96 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

SOLEDAD REYES FNP-C
Nurse Practitioner (Family)
344 E 6TH ST
MADERA, CA 93638
Madera County (559) 666-4000
DANIELA IVONNE ULLOA
Dentist
344 E 6TH ST
MADERA, CA 93638
Madera County (559) 664-4000
ALONDRA JUAREZ
Social Worker (Clinical)
344 E 6TH ST
MADERA, CA 93638
Madera County (559) 664-4000
MADHURI SHUKLA APRN
Nurse Practitioner
344 E 6TH ST
MADERA, CA 93638
Madera County (559) 664-4000
HARJEET K GILL NP
Nurse Practitioner (Family)
344 E 6TH ST
MADERA, CA 93638
Madera County (559) 664-4000
CAROLINA GUTIERREZ GARCIA
Family Medicine
344 E 6TH ST
MADERA, CA 93638
Madera County (442) 228-0681
DR. GERARD N MAZO MD
General Practice
344 E 6TH ST
MADERA, CA 93638
Madera County (559) 664-4000
GUILLERMO SANDOVAL MD
Pediatrics
344 E 6TH ST
MADERA, CA 93638
Madera County (559) 664-4000

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 Nickolas De Leon's NPI number?

The NPI number for Nickolas De Leon is 1861058430. It was assigned to this individual provider in the NPPES registry on May 19, 2019.

Where is Nickolas De Leon located?

Nickolas De Leon practices at 344 E 6th St, Madera, CA 93638. The listed phone number is (559) 664-4000.

What is Nickolas De Leon's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Nickolas De Leon enrolled in Medicare?

Yes. Nickolas De 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 Nickolas De Leon was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.