Healthcare Provider Details

I. General information

NPI: 1255374443
Provider Name (Legal Business Name): LEON JOSEPH OWENS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6501 COYLE AVE. MERCY SAN JUAN MEDICAL CENTER
CARMICHAEL CA
95608-0306
US

IV. Provider business mailing address

5901RIVER OAK WAY
CARMICHAEL CA
95608-5548
US

V. Phone/Fax

Practice location:
  • Phone: 916-864-5692
  • Fax: 916-864-5693
Mailing address:
  • Phone: 916-483-4748
  • Fax: 916-481-4060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License NumberG38101
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License NumberG38101
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: