Thu-Ba Leba, MD

Individual provider Active NPI Pediatric Orthopaedic Surgery Physician · Madera, CA

NPI 1366633554 · NPPES record last updated Aug 7, 2013

Key facts

NPI
1366633554
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Orthopaedic Surgery Physician 207XP3100X
License
A121441 (CA)
Practice address
9300 Valley Childrens PL
Mail Stop Fe10
Madera, CA 93636-8761
Phone
(559) 353-5945
NPI assigned
Aug 5, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 5

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.

Medicare Care Compare profile

Specialty
Orthopedic Surgery
Education
Tulane University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Childrens Medical Group (50 clinicians)

Practice addresses (Care Compare)

1524 McHenry Ave
Modesto, CA 95350-4500
Phone (209) 572-3880

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20120720000216 CA Practitioner - Orthopedic Surgery 1052577921 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network Current
since Oct 1, 2020
Accepting new patients
Adventist Health Physicians Network Current
since Oct 1, 2020
Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
Valley Children'S Hospital Past Accepting new patients

Locations

1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695

Interoperability endpoints

  • Direct secure messaging: tleba15905@valleychildrens-prd.direct-ci.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Orthopaedic Surgery Physician 207XP3100X A121441 CA Yes

Addresses

Primary practice location

9300 Valley Childrens PL
Mail Stop Fe10
Madera, CA 93636-8761

Mailing address

9300 Valley Childrens PL
Mail Stop Fe10
Madera, CA 93636-8761
Phone (559) 353-5945

Other providers in Madera, CA

All providers in Madera, CA · Pediatric Orthopaedic Surgery Physician in California

Sources for this page

Verify at the official NPI Registry.