Individual provider Active NPI

Leehsin Billy Fang, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Mountain View, CA
National Provider Identifier
1184622433
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5118 Issued in CA
Practice address
2500 Hospital Drive, Bldg15
Suite 4
Mountain View, CA 94040-4106
Phone
(650) 386-1328
Fax
(650) 963-9813
NPI assigned
Jul 11, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E5118 CA Primary

Addresses

Primary practice location

2500 Hospital Drive, Bldg15
Suite 4
Mountain View, CA 94040-4106

Mailing address

226 Echo Ave
Suite 3
Campbell, CA 95008-4727
Phone (408) 903-3414

Other identifiers 3

IdentifierTypeStateIssuer
E5118OtherCACALIFORNIA PODIATRIST LICENSE
7483160001OtherCADME NSC PTAN
1184622433OtherCANPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140609001222 CA Practitioner - Podiatry 9830189281 Practice locations: Campbell, CA; Mountain View, CA; Sunnyvale, CA
O20160325000612 CA DME Supplier - Physician - Podiatry 5496052086 Practice locations: Mountain View, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

226 Echo Ave
Campbell, CA 95008-4727
Phone (408) 903-3414

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue23
Removal of skin lesions1-10
Removal of nail tissue174
Removal or shaving of skin growth279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5118CAMDFoot & Ankle Surgery Podiatrist
5118CAMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
El Camino Hospital Past Accepting new patients
County of Santa Clara Past Accepting new patients
El Camino Hospital Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: lfang6614@icare.elcaminohospital.org

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1184622433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 ECHO AVE",
            "address_2": "SUITE 3",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950084727",
            "telephone_number": "408-903-3414",
            "fax_number": "650-963-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HOSPITAL DRIVE, BLDG15",
            "address_2": "SUITE 4",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404106",
            "telephone_number": "650-386-1328",
            "fax_number": "650-963-9813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANG",
        "first_name": "LEEHSIN",
        "middle_name": "BILLY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA PODIATRIST LICENSE",
            "identifier": "E5118",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME NSC PTAN",
            "identifier": "7483160001",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1184622433",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

Verify at the official NPI Registry.