Individual provider Active NPI

Kenneth Leong, MD

  • Plastic Surgery Physician
  • Ventura, CA
National Provider Identifier
1366519266
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
G81070 Issued in CA
Practice address
300 Hillmont Ave Ste 401
Ventura, CA 93003-1651
Phone
(805) 648-9830
NPI assigned
Nov 29, 2006
Last updated
Aug 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X G81070 CA Primary
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X ME128087 FL

Addresses

Primary practice location

300 Hillmont Ave Ste 401
Ventura, CA 93003-1651

Mailing address

2911 48TH St W
Bradenton, FL 34209-6131
Phone (818) 454-6359

Other practice location 1

133 W Santa Clara St
Ventura, CA 93001-2543
Phone (805) 641-5600

Other practice location 2

1921 Waldemere St Ste 504
Sarasota, FL 34239
Phone (941) 952-4001

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kenneth.leong@ventura.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041209000698 CA Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand SurgeryPractitioner - Maxillofacial Surgery 3779549837 Reassigns benefits to 1 organization
I20160620000700 FL Practitioner - Plastic and Reconstructive Surgery 3779549837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery, Maxillofacial Surgery
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of VenturaGroup PAC ID 7911810171, 340 clinicians

Practice addresses (Care Compare)

300 Hillmont Ave
Ventura, CA 93003-1651

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
64.51
Promoting interoperability
100
Improvement activities
40
Cost
72.21

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G81070CAMDPlastic Surgery Physician
ME128087FLMDSurgery of the Hand (Plastic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SMH Physician Services Inc CurrentSince Sep 24, 2018 Accepting new patients
County of Ventura CurrentSince Apr 9, 2024 Accepting new patients
County of Ventura Current Accepting new patients
County of Ventura CurrentSince Apr 9, 2024 Accepting new patients
Mary Hitchcock Memorial Hospital Past Accepting new patients
HCA Health Services of Florida, Inc. Past Accepting new patients
Lakewood Ranch Medical Center Past Accepting new patients

Locations

133 W Santa Clara St
Ventura, CA 93001
Phone (805) 641-5600

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

300 Hillmont Ave
Bldg 340
Ventura, CA 93003
Phone (805) 652-6100

300 Hillmont Ave
Ste 401
Ventura, CA 93003
Phone (805) 648-9830

800 S Victoria Ave
#L4640
Ventura, CA 93009

1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565

1921 Waldemere St
Ste 504
Sarasota, FL 34239
Phone (941) 917-1579

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25209/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1366519266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 48TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342096131",
            "telephone_number": "818-454-6359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HILLMONT AVE STE 401",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930031651",
            "telephone_number": "805-648-9830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "133 W Santa Clara St",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930012543",
            "country_code": "US",
            "telephone_number": "805-641-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1921 Waldemere St Ste 504",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "34239",
            "country_code": "US",
            "telephone_number": "941-952-4001",
            "fax_number": "941-952-4028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEONG",
        "first_name": "KENNETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G81070",
            "primary": true
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "FL",
            "license": "ME128087",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kenneth.leong@ventura.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Cerner Direct Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Information",
            "address_1": "300 Hillmont Ave Ste 401",
            "city": "Ventura",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930031651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.