Tony Leuang

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

52512 Issued in CA

Practice address

82165 Doctor Carreon Blvd Apt 33B1
Indio, CA 92201-4800

Phone

(404) 543-4714

NPI assigned

Jun 3, 2015

Last updated

Jun 3, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Dermatology and Skin Cancer SpecialistsGroup PAC ID 3678702206, 20 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: advanceddermatologyandskin.tonyleuang@127196.advancedmd-direct.com

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.

• Advanced Dermatology & Skin Cancer Specialists

  • Dermatology Physician
  • Temecula, CA
  • NPI 1881023927
  Medicare reassignment Care Compare group
• Temecula Valley Family Physicians Inc.

  • Family Medicine Physician
  • Temecula, CA
  • NPI 1033323746
  NPD (past)

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1265812374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82165 DOCTOR CARREON BLVD APT 33B1",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922014800",
            "telephone_number": "404-543-4714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82165 DOCTOR CARREON BLVD APT 33B1",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922014800",
            "telephone_number": "404-543-4714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUANG",
        "first_name": "TONY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "52512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Susan Leiserowitz, M.ED
• Crista Rainelle Leiske, M.P.T.
• Andy S Leiva
• Cecilia Arlyn Lemus I
• Mirta Lerma
• Marcia Lewis, AMFT #72446
• Elsa Leyva
• Li Ching Pharmacy Corporation (Li Ching Pharmacy)
• Yan Jun Li, RPH
• Cheryll Licera Newill

• Medical Physician Assistant in Indio, CA
• Providers in Indio, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.