Individual provider Active NPI

Leslie Nguyen

  • Physician Assistant
  • Eastvale, CA
National Provider Identifier
1104462803
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
14252 Schleisman Rd
Eastvale, CA 92880-4025
Phone
(951) 941-0900
NPI assigned
Nov 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

14252 Schleisman Rd
Eastvale, CA 92880-4025

Mailing address

5991 Milana Dr
Eastvale, CA 92880-8627
Phone (909) 244-6954

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230724002934 CA Practitioner - Physician Assistant 7719347665 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carbon Health Medical Group of California PCGroup PAC ID 9032340047, 335 clinicians

Practice addresses (Care Compare)

14117 Limonite Ave
Suite 300
Eastvale, CA 92880-3864
Phone (951) 210-7237

3955 Bedford Canyon Rd
Unit 103
Corona, CA 92883-3627
Phone (951) 293-4722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians Urgent Care Inc. CurrentSince Oct 2, 2025 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Oct 2, 2025 Accepting new patients
Carbon Health Medical Group of California PC Past Accepting new patients

Locations

212 Coffee Rd
Ste 100
Bakersfield, CA 93309
Phone (661) 885-6060

9710 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 331-8640

4108 Edison Ave
Ste 112
Chino, CA 91710
Phone (909) 334-4545

32860 Pacific Coast Hwy
Ste 24
Dana Point, CA 92629
Phone (949) 441-2922

6789 N Blackstone Ave
Fresno, CA 93710
Phone (559) 512-3377

41540 Winchester Rd
Temecula, CA 92590
Phone (951) 365-5585

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1104462803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5991 MILANA DR",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928808627",
            "telephone_number": "909-244-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14252 SCHLEISMAN RD",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928804025",
            "telephone_number": "951-941-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LESLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-18",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastvale, CA

Sources for this page

Verify at the official NPI Registry.