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

Dr. Kelley De Leeuw, MDMPH

Individual provider Family Medicine Physician · NPI 1720395361

Dr. Kelley De Leeuw, MDMPH is registered under Family Practice in San Diego, California. Graduated from Ponce School of Medicine in 2009, 17 years ago. Practices with Centro De Salud De La Comunidad De San Ysidro, Inc, a 291-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
17
Trained at
Ponce School of Medicine
Licensed in
CA
In the registry since
2010
Specialties on file
2
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Practice location Address checks out

3350 La Jolla Village Dr Dept OF Psychiatry - 116A
San Diego, CA 92161-0002 Not confirmed with CMS for 15 years — call before visiting
Phone: (858) 552-8585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence A114857 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence A114857 (CA)

Record details

NPI number1720395361
Entity typeIndividual (Type 1)
GenderFemale
Credentials MDMPH
Sole proprietorNo
NPI enumeratedSeptember 2, 2010
Last updated in NPPESSeptember 8, 2011

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesPSYCHIATRY
Medical schoolPONCE SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Centro De Salud De La Comunidad De San Ysidro,Inc. — 291 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Colleagues at Centro De Salud De La Comunidad De San Ysidro, Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 291 clinicians in the practice; 12 are shown here.

Other providers in San Diego