Individual provider Active NPI

Stephen S Leung, M.D.

  • Family Medicine Physician
  • San Gabriel, CA
National Provider Identifier
1306969308
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A52914 Issued in CA
Practice address
1045 E Valley Blvd
Suite A210
San Gabriel, CA 91776-3661
Phone
(626) 572-0012
Fax
(626) 572-0799
NPI assigned
Apr 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A52914 CA Primary

Addresses

Primary practice location

1045 E Valley Blvd
Suite A210
San Gabriel, CA 91776-3661

Mailing address

1045 E Valley Blvd
Suite A210
San Gabriel, CA 91776-3661
Phone (626) 572-0012

Other identifiers 1

IdentifierTypeStateIssuer
00A529140MedicaidCA

Other names 1

  • Sui Kei Leung Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120320000982 CA Practitioner - Family Practice 4486814993 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amg a Professional Medical CorporationGroup PAC ID 9830092279, 27 clinicians

Practice addresses (Care Compare)

1045 E Valley Blvd
Suite A210
Sab Gabriel, CA 91776-3664
Phone (626) 572-0012

925 S Garfield Ave
Alhambra, CA 91801-4442
Phone (626) 282-0282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A52914CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amg, a Professional Medical Corporation Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
Healthy Medical Group Inc Family Medicine CurrentSince Sep 11, 2017 Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients

Locations

925 S Garfield Ave
Alhambra, CA 91801
Phone (626) 300-8388

710 N Euclid St
Ste 101
Anaheim, CA 92801
Phone (714) 517-2000

1045 E Valley Blvd
Ste A210
San Gabriel, CA 91776
Phone (626) 572-0012

Interoperability endpoints

  • Direct secure messaging: stephen.leung@662570498326532.direct.elationemr.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1306969308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 E VALLEY BLVD",
            "address_2": "SUITE A210",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763661",
            "telephone_number": "626-572-0012",
            "fax_number": "626-572-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 E VALLEY BLVD",
            "address_2": "SUITE A210",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763661",
            "telephone_number": "626-572-0012",
            "fax_number": "626-572-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUNG",
        "first_name": "STEPHEN",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A52914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A529140",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUI",
            "last_name": "LEUNG",
            "middle_name": "KEI",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Gabriel, CA

Sources for this page

Verify at the official NPI Registry.