Physician Compare National (NPI:1699883157)

HEALTHCARE PROVIDER: LEONEL APODACA JR. MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1699883157
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7113837584
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040521001340
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	APODACA
	Individual professional last name
Provider First Name	LEONEL
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1987
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1145 PHELPS AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 104
	Group Practice or individual's line 2 address
City	COALINGA
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	932109443
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050121
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ADVENTIST HEALTH HANFORD
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y