Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mr. Leon Koenck, PAC

Individual provider Physician Assistant · NPI 1164555769

Mr. Leon Koenck, PAC is a Physician Assistant in Gualala, California. Licensed in Alaska, California and Washington. Registered with an NPI since 2007.

Licensed in
AK, CA, WA
In the registry since
2007
Specialties on file
5
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

46900 Ocean Dr Ste 1100
Gualala, CA 95445-8353 Not confirmed with CMS for 10 years — call before visiting
Phone: (707) 884-4005
Fax: (707) 884-4625
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA19714 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 270 (AK)
Physician Assistant Taxonomy 363A00000X · Licence PA 10003212 (WA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA19714 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA10003212 (WA)

Record details

NPI number1164555769
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedMarch 13, 2007
Last updated in NPPESFebruary 2, 2016

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $19 1 payment · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Other providers in Gualala