Healthcare Provider Details

I. General information

NPI: 1669475158
Provider Name (Legal Business Name): JOSE LEONEL OCHOA-BAYONA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2005
Last Update Date: 06/10/2025
Certification Date: 06/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

177 LA CASA VIA STE 390
WALNUT CREEK CA
94598-6101
US

IV. Provider business mailing address

1450 TREAT BLVD STE 300
WALNUT CREEK CA
94597-2168
US

V. Phone/Fax

Practice location:
  • Phone: 925-677-5041
  • Fax:
Mailing address:
  • Phone: 925-952-2828
  • Fax: 813-745-8468

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberC171204
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: