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Deactivated NPI 1609973957 Deactivated / Inactive NPI Male Practitioner

Leonard Dean Williams , PA

Physician Assistant • Fresno, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Leonard Williams has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 20, 2006
NPI Deactivation Date September 11, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Leonard Williams, PA was a registered Physician Assistant practicing in Fresno, CA. Throughout an active medical career spanning 14 years, Leonard Williams provided care at the practice location at 2615 E CLINTON AVE until profile deactivation on 2020-09-11.

Practice Location & Contact Primary Location

Practice Address

2615 E Clinton Ave

Fresno, CA 937032223

Telephone 5592256100
Fax 5592416481
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fresno, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.9 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
194 Specialists

Practicing in Fresno, CA (14617 Statewide)

Telehealth Adoption Rate
8.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA PA10795

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Gary Dipersi , RN

Registered Nurse

NPI 1003609207

Registered Nurse

Michelle Moses , RN

Registered Nurse - Administrator

NPI 1003627381

Registered Nurse

Lulu Bungalso , RN

Registered Nurse

NPI 1003732942

Registered Nurse

Sandra Lozano

Registered Nurse

NPI 1003733882
Immanuel Ramiro

Registered Nurse

NPI 1003734112
Griselda Owens

Registered Nurse

NPI 1003736232

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 11, 2020

Record deactivated on September 11, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2615 E CLINTON AVE, FRESNO, CA 937032223 (Tel: 5592256100)

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Updated Business Mailing Address July 08, 2007

Registered at 4385 N CLOVIS AVE, FRESNO, CA 937277117 (Tel: 5592256100)

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Provider Name / Credentials Updated July 08, 2007

Recorded as LEONARD WILLIAMS, PA

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #PA10795 in CA)

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Initial NPI Registration & Enumeration September 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609973957
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2006
Last Update: July 08, 2007
Deactivation Date: September 11, 2020

Mailing Address

4385 N Clovis Ave

Fresno, CA 937277117

Phone: 5592256100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.