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
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
Practice addresses (Care Compare)
1524 McHenry Ave
Modesto, CA 95350-4500
Phone (209) 572-3880
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120720000216 | CA | Practitioner - Orthopedic Surgery | 1052577921 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health Physicians Network | Current |
Accepting new patients | |
| Adventist Health Physicians Network | Current |
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
- tleba15905@valleychildrens-prd.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Tina A. Le
- Jamie Leach
- Linda Leach
- Ryan Leach
- Jordyn Leasure
- Cheyenne Nellie Leblanc
- Brian K Lee
- Heesung David Lee
- Kenneth Lee
- Mai Jou Lee
All providers in Madera, CA · Pediatric Orthopaedic Surgery Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.