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Deactivated NPI 1619392735 Deactivated / Inactive NPI Male Practitioner

Andrew Leon

Contractor • Tustin, 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, Andrew Leon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 26, 2014
NPI Deactivation Date February 07, 2024
Total Practice Duration ~10 Years of Practice (2014 – 2024)

Professional Overview & Biography Verified Profile Summary

Andrew Leon was a registered Contractor practicing in Tustin, CA. Throughout an active medical career spanning 10 years, Andrew Leon provided care at the practice location at 13217 JAMBOREE RD until profile deactivation on 2024-02-07.

Practice Location & Contact Primary Location

Practice Address

13217 Jamboree Rd
207

Tustin, CA 927829158

Telephone 7142775033
Associated Practice Facility / Clinic
🏢 Robert S Young Md Inc Facility NPI 1194064311

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor in Tustin, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 35.4 Yrs
Regional Practice Density
2 Specialists

Practicing in Tustin, CA (480 Statewide)

Telehealth Adoption Rate
0.0% 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

Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

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 February 07, 2024

Record deactivated on February 07, 2024

NPI Profile Active February 26, 2014

NPI status registered as active in NPPES database

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Updated Practice Location February 26, 2014

Registered at 13217 JAMBOREE RD, 207, TUSTIN, CA 927829158 (Tel: 7142775033)

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Updated Business Mailing Address February 26, 2014

Registered at 13217 JAMBOREE RD, 207, TUSTIN, CA 927829158

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Provider Name / Credentials Updated February 26, 2014

Recorded as ANDREW LEON

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2014

Contractor

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Initial NPI Registration & Enumeration February 26, 2014

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: 1619392735
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 26, 2014
Last Update: February 26, 2014
Deactivation Date: February 07, 2024

Mailing Address

13217 Jamboree Rd, 207

Tustin, CA 927829158

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.