Active NPI
Evelyn Leong
- Occupational Therapist
- Spring Valley, CA
National Provider Identifier
1215680053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 21521
- Practice address
- 325 Kempton St
Spring Valley, CA 91977-5810 - Phone
- (619) 552-2063
- NPI assigned
- Feb 1, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 21521 | CA | Primary |
Addresses
Primary practice location
325 Kempton St
Spring Valley, CA 91977-5810
Mailing address
13045 Wimberly SQ Unit 140
San Diego, CA 92128-4035
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643673600000",
"number": "1215680053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13045 WIMBERLY SQ UNIT 140",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921284035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 KEMPTON ST",
"city": "SPRING VALLEY",
"state": "CA",
"postal_code": "919775810",
"telephone_number": "619-552-2063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEONG",
"first_name": "EVELYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-01",
"last_updated": "2022-02-01",
"certification_date": "2022-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "21521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.