JUSTIN RIRIE LEACH (DO) – Emergency Medicine Physician, NPI 1124580527

JUSTIN RIRIE LEACH (DO) is a healthcare provider. based in Stockton, California. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 20A009672 (AZ). The NPI Number for JUSTIN RIRIE LEACH (DO) is 1124580527

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN RIRIE LEACH (DO)
NPI
1124580527
Phone
(209) 547-7146
Address
1800 N CALIFORNIA ST
Enumeration Date
3 April 2019
Last Update Date
8 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5203816300
Graduation Year
2019 (7 years ago)
PAC ID
5294114179
Group Practice PAC ID
2264538529
Professional Enrollment ID
I20220623001304
Address ID
AZ851225303CA1800XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

5,791 EMERGENCY MEDICINE in CA

Loading map...

Provider Addresses for JUSTIN RIRIE LEACH (DO)

  • 1800, California Street, Stockton, San Joaquin County, California, 95204, United States

    STOCKTON, CA 952046019

    Phone: (209) 547-7146

    Fax: (209) 547-7197

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-06-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220623001304IEmergency MedicineAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making294268$0
99284Emergency department visit with moderate level of medical decision making7773$0
99291Critical care, first 30-74 minutes3737$0
99283Emergency department visit with low level of medical decision making2423$0
View full utilization report →

Insurance plans in this area (ZIP 95204)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264538529View full group profile
NameSpecialtyState
-AZ
Emergency MedicineNM
Emergency MedicineNC
Family Practice, Emergency Medicine, Emergency MedicineMS
Nurse PractitionerAZ
Emergency MedicineMI
Emergency MedicineAZ
-IL
Emergency MedicineTX
Nurse PractitionerAZ

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I use this page to confirm JUSTIN RIRIE LEACH (DO)'s NPI?
Yes. JUSTIN RIRIE LEACH (DO) is listed with NPI 1124580527 in the public NPI dataset.
Does the file indicate JUSTIN RIRIE LEACH (DO) is practicing under active NPI?
Directory data currently reports JUSTIN RIRIE LEACH (DO) as active.
What is JUSTIN RIRIE LEACH (DO)'s primary classification?
Emergency Medicine Physician is the headline specialty for JUSTIN RIRIE LEACH (DO) here. Clinical services aligned with this taxonomy classification.
What address line appears for JUSTIN RIRIE LEACH (DO)?
JUSTIN RIRIE LEACH (DO)'s geographic hint is Stockton, California in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

Similar Providers

PETER YIP (M.D.)

Emergency Medicine Physician
600, Coffee Road, Modesto, Stanislaus County, California, 95355, United States
NPI: 1780674176

ANDREA BAOWANG AJAYI (MD)

Emergency Medicine Physician
1800 Harrison Building, 1800, Harrison Street, Financial District, Oakland, Alameda County, California, 94612, United States
NPI: 1164413472

MR. GILBERT E GREENE (D.O.)

Family Medicine Physician
1307, Commerce Street, The Homestead, Stockton, San Joaquin County, California, 95206, United States
NPI: 1124007430

MR. EDWARD T CHANG (MD)

Internal Medicine Physician
111 N ATLANTIC BLVD STE 242
NPI: 1780637199

DR. THOMAS GERACI (DO)

General Practice Physician
2670 BABCOCK WAY
NPI: 1952357741

EMERGENCY PHYSICIANS MEDICAL GROUP, INC

Emergency Medicine Physician
Canton Kinder Care, Dressler Road Northwest, Monterey Heights, Jackson Township, Stark County, Ohio, 44718, United States
NPI: 1699715425

Stockton Medical Plaza Specialty Care

Orthopaedic Surgery Physician
600, Coffee Road, Modesto, Stanislaus County, California, 95355, United States
NPI: 1477593176

CECELIA R BLAWIE (MD)

Internal Medicine Physician
Canton Kinder Care, Dressler Road Northwest, Monterey Heights, Jackson Township, Stark County, Ohio, 44718, United States
NPI: 1245261742

Unknown Individual

Emergency Medicine Physician
Stockton Post Office, 401, North San Joaquin Street, Stockton, San Joaquin County, California, 95202, United States
NPI: 1316971674