Active NPI
Jeffery J Leinen, M.D.
- Emergency Medicine Physician
- Emeryville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD60924945
- Practice address
- 2100 Powell St Ste 900
Emeryville, CA 94608-1844 - Phone
- (510) 350-2600
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | C51510 | CA | |
| Emergency Medicine Physician | 207P00000X | MD60924945 | WA | Primary |
Addresses
Primary practice location
2100 Powell St Ste 900
Emeryville, CA 94608-1844
Mailing address
2100 Powell St Ste 900
Emeryville, CA 94608-1844
Phone (510) 350-2600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C515100 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51510 | CA | MD | Pediatric Dentist |
| C51510 | CA | MD | Emergency Medicine Physician |
| MD60924945 | WA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonoma Valley Emergency Physicians Medical Group, Inc | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Emergency Medicine | Current | Accepting new patients |
| Cep America-California | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Travis County Emergency Physicians PA | Emergency Medicine | Current | Accepting new patients |
| County of Santa Clara | Current | Accepting new patients | |
| VMS Medical Group Inc | Past | Accepting new patients | |
| Westlake Emergency Physicians, P.a. | Emergency Medicine | Past | Accepting new patients |
Locations
3901 Lone Tree Way
Antioch, CA 94509
Phone (925) 779-7200
2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777
1650 Creekside Dr
Folsom, CA 95630
Phone (916) 983-7400
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111
4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156
1 Medical Plaza Dr
Roseville, CA 95661
Phone (916) 781-1000
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305
1040 W Jefferson St
Brownsville, TX 78520
Phone (956) 423-4589
2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779
6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000
1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050
11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020
3011 W Loop 1604 N
San Antonio, TX 78251
Phone (726) 266-7081
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
Interoperability endpoints
- jleinen86411@santaclaravalley.direct-ci.net
Organizations & group practices 10
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.
-
- Emergency Medicine Physician
- San Francisco, CA
- NPI 1023063542
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
-
- Emergency Medicine Physician
- Sonoma, CA
- NPI 1710164629
-
- Emergency Medicine Physician
- Austin, TX
- NPI 1962440933
-
- Emergency Medicine Physician
- Roseville, CA
- NPI 1346265154
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1588552848
-
- Pharmacy
- San Jose, CA
- NPI 1891871919
-
- Endocrinology, Diabetes & Metabolism Physician
- Bakersfield, CA
- NPI 1720360530
-
- Emergency Medicine Physician
- West Lake Hills, TX
- NPI 1396841375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574726400000",
"number": "1114983244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 POWELL ST STE 900",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946081844",
"telephone_number": "510-350-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 POWELL ST STE 900",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946081844",
"telephone_number": "510-350-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEINEN",
"first_name": "JEFFERY",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2019-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "C51510",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WA",
"license": "MD60924945",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C515100",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Emeryville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.