Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nickolas Paul De Leon

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1861058430

Nickolas Paul De Leon is a Physician Assistant in Madera, California. Qualified in 2020, 6 years ago. Practices with Camarena Health, a 82-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

344 E 6th St
Madera, CA 93638-3631
Phone: (559) 664-4000
Fax: (559) 675-5224
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 58866 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1861058430
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 19, 2019
Last updated in NPPESNovember 29, 2021
Certification dateNovember 29, 2021
Mailing address344 E 6th St, Madera, CA 93638-3631

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Camarena Health — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Madera