Individual provider Active NPI

Timothy A Leach, M.D. FACOG

  • Obstetrics & Gynecology Physician
  • Walnut Creek, CA
National Provider Identifier
1356429534
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G81727 Issued in CA
Practice address
110 Tampico Ste 210
Walnut Creek, CA 94598-2962
Phone
(925) 935-6952
Fax
(925) 935-1396
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G81727 CA Primary

Addresses

Primary practice location

110 Tampico Ste 210
Walnut Creek, CA 94598-2962

Mailing address

110 Tampico Ste 210
Walnut Creek, CA 94598-2962
Phone (925) 935-6952

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
I20070619000615 CA Practitioner - Obstetrics/Gynecology 9032218813 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bass Medical GroupGroup PAC ID 9032111281, 292 clinicians

Practice addresses (Care Compare)

110 Tampico
Suite 210
Walnut Creek, CA 94598-2962
Phone (925) 290-7061

1505 Saint Alphonsus Way
Alamo, CA 94507-1570
Phone (925) 932-6330

Hospital & facility affiliations

  • John Muir Medical Center - Walnut Creek Campus Hospital, Walnut Creek, CA, CCN 050180
  • John Muir Medical Center - Concord Campus Hospital, Concord, CA, CCN 050496
  • San Ramon Regional Medical Center Hospital, San Ramon, CA, CCN 050689

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G81727CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group Obstetrics & Gynecology Current Accepting new patients
Bass Medical Group CurrentSince Jun 1, 2018 Accepting new patients
Bass Medical Group CurrentSince Jun 1, 2018 Accepting new patients
John Muir Physician Network CurrentSince May 31, 2021 Accepting new patients
John Muir Health Past Accepting new patients
Bass Medical Group Past Accepting new patients
San Ramon Regional Medical Center, LLC Past Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112

5601 Norris Canyon Rd
Ste 240
San Ramon, CA 94583
Phone (925) 587-3660

2121 Ygnacio Valley Rd
Ste E206
Walnut Creek, CA 94598
Phone (925) 732-0390

1450 Treat Blvd
Ste 320
Walnut Creek, CA 94597
Phone (925) 296-9827

365 Lennon Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 627-3424

110 Tampico
Ste 210
Walnut Creek, CA 94598
Phone (925) 935-6952

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: tleach12314@ehr.johnmuirhealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1356429534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 TAMPICO STE 210",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982962",
            "telephone_number": "925-935-6952",
            "fax_number": "925-935-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 TAMPICO STE 210",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982962",
            "telephone_number": "925-935-6952",
            "fax_number": "925-935-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEACH",
        "first_name": "TIMOTHY",
        "middle_name": "A",
        "credential": "M.D. FACOG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G81727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.