Organization Active NPI

Leon Yan MD

  • Clinic/Center
  • Murrieta, CA
National Provider Identifier
1174128482
Registry record updated Dec 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LEON YAN MD
Practice address
29995 Technology Dr Ste 100
Murrieta, CA 92563-2632
Phone
(951) 412-1610
NPI assigned
Dec 3, 2020
Organization subpart
Yes
Parent organization
LEON YAN MDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 4, 2020

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

Authorized official

Name
Leon Yan, MDNPI 1962569228
Title
MD/Owner
Phone
(951) 412-1610

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

29995 Technology Dr Ste 100
Murrieta, CA 92563-2632

Mailing address

29995 Technology Dr Ste 100
Murrieta, CA 92563-2632
Phone (951) 412-1610

Other names 1

  • Summit Pediatric Medical Clinic Doing business as

National Provider Directory

National Provider Directory
Part of
Leon Yan MD

Locations

29995 Technology Dr
Ste 100
Murrieta, CA 92563
Phone (951) 412-1610

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": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607040000000",
    "number": "1174128482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29995 TECHNOLOGY DR STE 100",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632632",
            "telephone_number": "951-412-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29995 TECHNOLOGY DR STE 100",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632632",
            "telephone_number": "951-412-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEON YAN MD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEON YAN MD",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A",
        "authorized_official_last_name": "YAN",
        "authorized_official_first_name": "LEON",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "951-412-1610",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Pediatric Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.