Active NPI
Leehsin Billy Fang, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Mountain View, CA
National Provider Identifier
1184622433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E5118
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E5118 | Other | CA | CALIFORNIA PODIATRIST LICENSE |
| 7483160001 | Other | CA | DME NSC PTAN |
| 1184622433 | Other | CA | NPI |
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: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 23 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 174 |
| Removal or shaving of skin growth | 279 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E5118 | CA | MD | Foot & Ankle Surgery Podiatrist |
| 5118 | CA | MD | Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New 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
- 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.
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
-
- General Acute Care Hospital
- Mountain View, CA
- NPI 1093712374
-
- General Acute Care Hospital
- Los Gatos, CA
- NPI 1417199340
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mountain View, CA
- NPI 1093712374
-
- General Acute Care Hospital
- Los Gatos, CA
- NPI 1417199340
-
- General Acute Care Hospital
- Los Gatos, CA
- NPI 1457594087
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.