Individual provider Active NPI

Timothy Leung, M.D.

  • Plastic Surgery Physician
  • Danville, CA
National Provider Identifier
1366510943
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A060992 Issued in CA
Practice address
905 San Ramon Valley Blvd
Suite 110
Danville, CA 94526-4035
Phone
(925) 831-1317
NPI assigned
Dec 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X A060992 CA Primary

Addresses

Primary practice location

905 San Ramon Valley Blvd
Suite 110
Danville, CA 94526-4035

Mailing address

905 San Ramon Valley Blvd
Suite 110
Danville, CA 94526-4035
Phone (925) 831-1317

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
I20081021000426 CA Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 9638237688 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A060992CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Timothy Leung MD Incorporated Plastic Surgery CurrentSince Aug 1, 2002 Accepting new patients
John Muir Trauma Physicians Billing Service CurrentSince Nov 1, 2006 Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
Medical Anesthesia Consultants Medical Group, Inc. Past Accepting new patients

Locations

905 San Ramon Valley Blvd
Danville, CA 94526
Phone (925) 831-1317

905 San Ramon Valley Blvd
Ste 110
Danville, CA 94526
Phone (925) 831-1317

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1366510943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 SAN RAMON VALLEY BLVD",
            "address_2": "SUITE 110",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264035",
            "telephone_number": "925-831-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 SAN RAMON VALLEY BLVD",
            "address_2": "SUITE 110",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264035",
            "telephone_number": "925-831-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUNG",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A060992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, CA

Sources for this page

Verify at the official NPI Registry.