Individual provider Active NPI

Bryant C. Leung III, MD

  • Physical Medicine & Rehabilitation Physician
  • Riverside, CA
National Provider Identifier
1164427001
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A69385 Issued in CA
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

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
250012347OtherCARAILROAD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090616000283 CA Practitioner - Physical Medicine and Rehabilitation 7416017264 Reassigns benefits to 1 organization

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
Newport Care Medical Group IncGroup PAC ID 6901033521, 20 clinicians

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

LicenseStateTypeSpecialty
A69385CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newport Care Medical Group Inc CurrentSince Dec 1, 2022 Accepting new patients
Newport Care Medical Group, Inc Physical Medicine & Rehabilitation CurrentSince Dec 1, 2022 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.

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

Verify at the official NPI Registry.