Active NPI
Bryant C. Leung III, MD
- Physical Medicine & Rehabilitation Physician
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- A69385
- Practice address
- 4354 Latham St
Ste 100
Riverside, CA 92501-1777 - Phone
- (951) 683-0650
- Fax
- (951) 774-4610
- NPI assigned
- Jun 16, 2005
- 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 |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | A69385 | CA | |
| Physical Medicine & Rehabilitation Physician | 208100000X | A69385 | CA | Primary |
Addresses
Primary practice location
4354 Latham St
Ste 100
Riverside, CA 92501-1777
Mailing address
4354 Latham St
Ste 100
Riverside, CA 92501-1777
Phone (951) 683-0650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 250012347 | Other | CA | RAILROAD MEDICARE |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3560 Arlington Ave
Riverside, CA 92506-3936
Phone (949) 491-9991
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A69385 | CA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newport Care Medical Group Inc | Current | Accepting new patients | |
| Newport Care Medical Group, Inc | Physical Medicine & Rehabilitation | Current | Accepting new patients |
Locations
3490 Linden Ave
Ste 2
Long Beach, CA 90807
Phone (888) 368-1850
3711 Long Beach Blvd
Ste 101
Long Beach, CA 90807
Phone (310) 963-9727
4281 Katella Ave
Ste 222
Los Alamitos, CA 90720
1711 W Temple St
Ste 4675
Los Angeles, CA 90026
Phone (213) 483-6563
40700 California Oaks Rd
Ste 205
Murrieta, CA 92562
Phone (951) 304-3180
441 Old Newport Blvd
Ste 201
Newport Beach, CA 92663
441 Old Newport Blvd
Newport Beach, CA 92663
Phone (714) 309-9270
2617 E Chapman Ave
Ste 110
Orange, CA 92869
Phone (714) 633-0011
1041 E Yorba Linda Blvd
Ste 306
Placentia, CA 92870
Phone (714) 577-9500
3660 Park Sierra Dr
Ste 101
Riverside, CA 92505
Phone (877) 357-4777
4354 Latham St
Ste 100
Riverside, CA 92501
Phone (909) 787-1101
3560 Arlington Ave
Riverside, CA 92506
Phone (909) 680-1200
1386 W 7th St
Ste 306
San Pedro, CA 90732
28780 Single Oak Dr
Ste 270
Temecula, CA 92590
Phone (951) 600-1795
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Newport Beach, CA
- NPI 1528401783
Physical Medicine & Rehabilitation
-
- Durable Medical Equipment & Medical Supplies
- Los Alamitos, CA
- NPI 1922852490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563840000000",
"number": "1164427001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4354 LATHAM ST",
"address_2": "STE 100",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925011777",
"telephone_number": "951-683-0650",
"fax_number": "951-774-4612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4354 LATHAM ST",
"address_2": "STE 100",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925011777",
"telephone_number": "951-683-0650",
"fax_number": "951-774-4610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEUNG",
"first_name": "BRYANT",
"middle_name": "C.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-16",
"last_updated": "2019-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "CA",
"license": "A69385",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "A69385",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "250012347",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.