EMMANUEL DE LEON RN, MSN, PMHNP-BC
NPI 1902528706
Nurse Practitioner - Psychiatric/Mental Health in Glendora, CA

Q: What is Emmanuel De Leon's NPI number?

The NPI number for Emmanuel De Leon is 1902528706. It was assigned to this individual provider in the NPPES registry on September 19, 2022.

Q: What is Emmanuel De Leon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Emmanuel De Leon was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 19, 2022PECOS EnrolledAccepts Medicare Assignment

415 W ROUTE 66 STE 202, GLENDORA, CA 91740(626) 963-4467 Get Directions Write a Review

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

Record update history: May 12, 2026, Aug 8, 2025, Apr 4, 2025 and 1 more (4 updates tracked since 2022).

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About Emmanuel De Leon Rn, Msn, Pmhnp-bc NPPES

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

EMMANUEL DE LEON RN, MSN, PMHNP-BC (NPI 1902528706) is an individual psychiatric/mental health provider in Glendora, California, licensed in California (95030182) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1902528706

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameEMMANUEL DE LEONCredential: RN, MSN, PMHNP-BC

Location Address415 W ROUTE 66 STE 202Glendora, CA 91740-4335

Mailing Address415 W Route 66 Ste 202Glendora, CA 91740-4335 · (626) 963-4467

Phone(626) 963-4467

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateSeptember 19, 2022

Last NPPES UpdateMay 12, 20264 updates tracked since enumeration

NPPES CertifiedMay 12, 2026

✔ NPI 1902528706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95030182

415 W ROUTE 66 STE 202, Glendora, CA 91740

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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 and accepts Medicare assignment

Emmanuel De Leon Rn, Msn, Pmhnp-bc 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 ID749715514

PECOS Enrollment IDI20241203002235

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

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

Dr Jacob & Associates Inc

Same address

Psychiatry

415 W ROUTE 66, STE 202
Glendora, CA 91740

Reassigned Medicare billing, California enrollment
19 clinicians in this Medicare group

NPI 1932997467 (626) 963-4467

Geriatric Support Medical Group PC

33 mi

General Practice

880 APOLLO ST STE 217
El Segundo, CA 90245

Reassigned Medicare billing, California enrollment
57 clinicians in this Medicare group

NPI 1548188931 (714) 698-4908

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 91740 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.

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.

LORENA LLANET FUENTES PMHNP

Nurse Practitioner (Psychiatric/Mental Health)