Active NPI
Jaclyn Leong, DO
- Internal Medicine Physician
- Irvine, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 20A18532
- Practice address
- 856 Health Sciences Road
Irvine, CA 92617 - Phone
- (949) 824-7000
- NPI assigned
- May 4, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | R2783 | AZ | |
| Internal Medicine Physician | 207R00000X | 20A18532 | CA | Primary |
Addresses
Primary practice location
856 Health Sciences Road
Irvine, CA 92617
Mailing address
200 S Manchester Ave Ste 300
Orange, CA 92868-3219
Phone (714) 456-2986
Other practice location 1
1640 Newport Blvd Ste 200
Costa Mesa, CA 92627-3786
Phone (714) 456-8180
Other practice location 2
1501 N Campbell Ave Rm 6336
Tucson, AZ 85724-5040
Phone (520) 626-8818
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
- Internal Medicine
- Education
- Campbell Univ School of Osteopathic Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-7004
Hospital & facility affiliations
- Uci Health-Orange
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 83.7
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A18532 | CA | MD | Internal Medicine Physician |
| 18532 | CA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| UC Regents | Current | Accepting new patients | |
| UC Regents | Current | Accepting new patients | |
| Regents of the University of California | Internal Medicine | Current | Accepting new patients |
| UC Regents | Internal Medicine | Current | Accepting new patients |
| Regents of the University of California | Current | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients | |
| Uci Medical Group | Past | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients |
Locations
1640 Newport Blvd
Ste 200
Costa Mesa, CA 92627
Phone (877) 378-0401
1640 Newport Blvd
Ste 300
Costa Mesa, CA 92627
Phone (949) 386-5101
856 Health Sciences Rd
Ste 2600
Irvine, CA 92617
Phone (949) 824-7000
4000 MacArthur Blvd
Ste 110
Newport Beach, CA 92660
Phone (949) 445-8768
101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054
Organizations & group practices 8
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.
-
- Infectious Disease Physician
- Orange, CA
- NPI 1760430847
-
- Family Medicine Physician
- Orange, CA
- NPI 1679521850
Internal Medicine
-
- Anatomic Pathology & Clinical Pathology Physician
- Orange, CA
- NPI 1174662555
-
- Internal Medicine Physician
- Orange, CA
- NPI 1205884392
-
- Pulmonary Disease Physician
- Orange, CA
- NPI 1629026729
-
- Critical Access Hospital
- Orange, CA
- NPI 1538216668
-
- Infusion Therapy Clinic/Center
- Irvine, CA
- NPI 1417027475
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678233600000",
"number": "1225564727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 S MANCHESTER AVE STE 300",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683219",
"telephone_number": "714-456-2986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "856 HEALTH SCIENCES ROAD",
"city": "IRVINE",
"state": "CA",
"postal_code": "92617",
"telephone_number": "949-824-7000"
}
],
"practiceLocations": [
{
"address_1": "1640 Newport Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Costa Mesa",
"state": "CA",
"postal_code": "926273786",
"country_code": "US",
"telephone_number": "714-456-8180",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1501 N Campbell Ave Rm 6336",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857245040",
"country_code": "US",
"telephone_number": "520-626-8818",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEONG",
"first_name": "JACLYN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-04",
"last_updated": "2023-03-08",
"certification_date": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "R2783",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "20A18532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.