Organization Active NPI

Timothy Leung MD Incorporated

  • Plastic Surgery Physician
  • Danville, CA
National Provider Identifier
1154573202
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A060992 Issued in CA
Legal business name
TIMOTHY LEUNG MD INCORPORATED
Practice address
905 San Ramon Valley Blvd
Suite 110
Danville, CA 94526-4035
Phone
(925) 831-1317
Fax
(925) 831-3609
NPI assigned
Oct 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Authorized official

Name
Kimberly A Norris
Title
Office Manager
Phone
(925) 831-1317

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X A060992 CA Primary

Addresses

Primary practice location

905 San Ramon Valley Blvd
Suite 110
Danville, CA 94526-4035

Mailing address

905 San Ramon Valley Blvd
Suite 110
Danville, CA 94526-4035
Phone (925) 831-1317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081022000000 CA Part B Supplier - Clinic/Group Practice 0143247627 Receives reassigned benefits from 1 practitioner
Practice locations: Danville, CA

National Provider Directory

National Provider Directory

Locations

905 San Ramon Valley Blvd
Danville, CA 94526
Phone (925) 831-1317

905 San Ramon Valley Blvd
Ste 110
Danville, CA 94526
Phone (925) 831-1317

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1154573202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 SAN RAMON VALLEY BLVD",
            "address_2": "SUITE 110",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264035",
            "telephone_number": "925-831-1317",
            "fax_number": "925-831-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 SAN RAMON VALLEY BLVD",
            "address_2": "SUITE 110",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264035",
            "telephone_number": "925-831-1317",
            "fax_number": "925-831-3609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY LEUNG MD INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "NORRIS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "925-831-1317"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A060992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.