Individual provider Active NPI

Carrie Ann Leung, FNP

  • Family Health Clinical Nurse Specialist
  • Los Gatos, CA
National Provider Identifier
1285137588
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
2017026979 Issued in CA
Practice address
815 Pollard Rd
Los Gatos, CA 95032-1438
Phone
(408) 838-4774
NPI assigned
Mar 13, 2018
Last updated
Feb 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse Specialist 364SF0001X 2017026979 CA Primary

Addresses

Primary practice location

815 Pollard Rd
Los Gatos, CA 95032-1438

Mailing address

1284 W Creek Ridge Dr
South Jordan, UT 84095-8253
Phone (408) 838-4774

Other identifiers 2

IdentifierTypeStateIssuer
2017026979OtherCAAMERICAN NURSE CREDENTIALING CENTER
CA303447OtherCAMEDICARE PTAN

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180608000022 CA Practitioner - Nurse Practitioner 5991060279 Reassigns benefits to 1 organization
Practice locations: San Jose, CA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

San Jose, CA 95125
Phone (408) 838-4774

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2017026979CAMDFamily Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Pontine Incorporated CurrentSince Feb 1, 2021 Accepting new patients
Orthonorcal, Inc. CurrentSince Mar 24, 2018 Accepting new patients
Orthonorcal Inc CurrentSince Mar 24, 2018 Accepting new patients

Locations

39350 Civic Center Dr
Ste 100
Fremont, CA 94538
Phone (510) 453-4600

340 Dardanelli Ln
Ste 10
Los Gatos, CA 95032
Phone (408) 412-8100

2160 W Grant Line Rd
Ste 120
Tracy, CA 95377
Phone (209) 832-2095

1006 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-2800

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1285137588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1284 W CREEK RIDGE DR",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840958253",
            "telephone_number": "408-838-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 POLLARD RD",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321438",
            "telephone_number": "408-838-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUNG",
        "first_name": "CARRIE",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-13",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "CA",
            "license": "2017026979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN NURSE CREDENTIALING CENTER",
            "identifier": "2017026979",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CA303447",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.