Active NPI
Leo H. Kan, DO
- Ophthalmology Physician
- Placentia, CA
National Provider Identifier
1447338926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 20A9163
- Practice address
- 377 E Chapman Ave
Ste 240
Placentia, CA 92870-5091 - Phone
- (714) 572-2039
- NPI assigned
- Nov 1, 2006
- Last updated
- Sep 10, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 1433 | SC | |
| Ophthalmology Physician | 207W00000X | OP60291650 | WA | |
| Ophthalmology Physician | 207W00000X | 20A9163 | CA | Primary |
Addresses
Primary practice location
377 E Chapman Ave
Ste 240
Placentia, CA 92870-5091
Mailing address
425 W Bonita Ave
Ste 110
San Dimas, CA 91773-2543
Phone (559) 585-3937
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190312000814 | CA | Practitioner - Ophthalmology | 1951333244 | Practice locations: Delano, CA; Fresno, CA; Lancaster, CA; Modesto, CA; San Dimas, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1611 Scenic Dr
Modesto, CA 95355-4907
Phone (209) 523-5667
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9163 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| 1433 | SC | MD | Clinical Child & Adolescent Psychologist |
| 1003 | NV | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631232000000",
"number": "1447338926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 W BONITA AVE",
"address_2": "STE 110",
"city": "SAN DIMAS",
"state": "CA",
"postal_code": "917732543",
"telephone_number": "559-585-3937",
"fax_number": "559-582-3645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "377 E CHAPMAN AVE",
"address_2": "STE 240",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "928705091",
"telephone_number": "714-572-2039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAN",
"first_name": "LEO",
"middle_name": "H.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2021-09-10",
"certification_date": "2021-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "SC",
"license": "1433",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WA",
"license": "OP60291650",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "20A9163",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Placentia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.