MARY DE LEON
NPI 1467249995
Nurse Practitioner - Critical Care Medicine in Glendale, CA

NPI Status: Active since April 21, 2025

Contact Information

1619 S ADAMS ST
GLENDALE, CA
ZIP 91205
Phone: (323) 458-3055

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  • Individual
  • Female
  • Nurse Practitioner
  • Critical Care Medicine

About MARY DE LEON

This page provides the complete NPI Profile along with additional information for Mary De Leon, a provider established in Glendale, California with a medical specialization in Nurse Practitioner, focusing in critical care medicine . The healthcare provider is registered in the NPI registry with number 1467249995 assigned on April 2025. The practitioner's primary taxonomy code is 363LC0200X with license number 95020893 (CA). The provider is registered as an individual and her NPI record was last updated July 2025.

NPI
1467249995
Provider Name
MARY DE LEON
Gender
Female
Entity Type
Individual
Location Address
1619 S ADAMS ST GLENDALE, CA 91205
Location Phone
(323) 458-3055
Mailing Address
1619 S ADAMS ST GLENDALE, CA 91205
Mailing Phone
(323) 458-3055
Is Sole Proprietor?
Yes
Enumeration Date
04-21-2025
Last Update Date
07-10-2025
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A nurse practitioner (NP) like Mary De Leon is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Critical Care Medicine

Taxonomy Code
363LC0200X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
95020893
License State
CA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

95020893 (CA)
2363LA2200XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Adult Health

95020893 (CA)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1467249995
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241274418918
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 2 + 7 + 4 + 4 + 1 + 8 + 9 + 1 + 8 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1467249995 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467249995, enumerated in the NPI registry as an "individual" on April 21, 2025

The provider is located at 1619 S Adams St Glendale, Ca 91205 and the phone number is (323) 458-3055

The provider's speciality is Nurse Practitioner with taxonomy code 363LC0200X with a focus in Critical Care Medicine

This NPI record was last updated on April 21, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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