Leilina Nguyen

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1044 Cherry Valley Blvd Ste 430
Calimesa, CA 92320-2247

Phone

(909) 362-9471

NPI assigned

Feb 13, 2025

Last updated

May 15, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tyson Medical IncGroup PAC ID 3072870112, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tyson Medical Inc

  • Family Medicine Physician
  • Calexico, CA
  • NPI 1467241570
  Medicare reassignment Care Compare group
• Tyson Medical Inc

  dba All Valley Urgent Care

  • Urgent Care Clinic/Center
  • El Centro, CA
  • NPI 1376053843
  NPD

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

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1194520304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 3RD ST",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917504401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 CHERRY VALLEY BLVD STE 430",
            "city": "CALIMESA",
            "state": "CA",
            "postal_code": "923202247",
            "telephone_number": "909-362-9471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LEILINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn Renee McDonald, DSW, AMFT, APCC
• Jordan Mondak
• Dennis John Mullenix II, LMFT
• Edward Hassan Muwwakkil
• My Time Therapy Clinic Robbin S Caneva Licensed Clinical Social Wo (My Time Therapy Clinic)
• Griselda Ortiz Rodriguez, NP
• Keith Park
• Richard L Parker, D.D.S., M.S.
• Colbi Rae Pickl
• John Jay Preston, D.C.

• Physician Assistant in Calimesa, CA
• Providers in Calimesa, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.

Verify at the official NPI Registry.