Active NPI
Man Kong Leung, M.D.
- Neurology Physician
- Pleasanton, CA
National Provider Identifier
1184760969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- A74902
- Practice address
- 4466 Black Ave Ste a
Pleasanton, CA 94566-6130 - Phone
- (925) 600-8220
- Fax
- (925) 600-8221
- NPI assigned
- Jan 29, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | A74902 | CA | Primary |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | A74902 | CA | |
| Clinical Neurophysiology Physician | 2084N0600X | A74902 | CA |
Addresses
Primary practice location
4466 Black Ave Ste a
Pleasanton, CA 94566-6130
Mailing address
4466 Black Ave Ste a
Pleasanton, CA 94566-6130
Phone (925) 600-8220
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
- Neurology
- Education
- University of Wisconsin School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4466 Black Ave
Suite a
Pleasanton, CA 94566-6130
Phone (925) 600-8220
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A74902 | CA | MD | Clinical Neurophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Man Kong Leung MD Inc | Neurology | Current | Accepting new patients |
| John Muir Health | Past | Accepting new patients | |
| San Ramon Regional Medical Center, LLC | Past | Accepting new patients | |
| Mission Hospital, Inc. | Past | Accepting new patients |
Locations
4466 Black Ave
Ste A
Pleasanton, CA 94566
Phone (925) 600-8220
Organizations & group practices 4
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.
-
- Rehabilitation Hospital Unit
- Walnut Creek, CA
- NPI 1447269303
-
- General Acute Care Hospital
- San Ramon, CA
- NPI 1932131489
-
- General Acute Care Hospital
- Mission, TX
- NPI 1205833985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405555200000",
"number": "1184760969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4466 BLACK AVE STE A",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945666130",
"telephone_number": "925-600-8220",
"fax_number": "925-600-8221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4466 BLACK AVE STE A",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945666130",
"telephone_number": "925-600-8220",
"fax_number": "925-600-8221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEUNG",
"first_name": "MAN KONG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2014-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "A74902",
"primary": true
},
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "CA",
"license": "A74902",
"primary": false
},
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "CA",
"license": "A74902",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.