NPIMap

Individual provider Active NPI

Jessica Robin Gar Ling Leung, MD

  • Family Medicine Physician
  • Oakland, CA
National Provider Identifier
1457770935
Registry record updated Oct 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A142518 Issued in CA
Practice address
250 E. 18TH Street, 2ND Floor
Oakland, CA 94606
Phone
(510) 735-3888
Fax
(510) 628-0568
NPI assigned
Apr 10, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X A142518 CA Primary

Addresses

Primary practice location

250 E. 18TH Street, 2ND Floor
Oakland, CA 94606

Mailing address

250 E. 18TH Street, 2ND Floor
Oakland, CA 94606
Phone (510) 735-3888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171113002759 CA Practitioner - Family Practice 7911263686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Georgetown University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asian Health ServicesGroup PAC ID 0244271021, 93 clinicians

Practice addresses (Care Compare)

818 Webster St
Oakland, CA 94607-4220
Phone (510) 986-6800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A142518CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asian Health Services CurrentSince Oct 2, 2017 Accepting new patients
Asian Health Services CurrentSince Oct 2, 2017 Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients
Asian Health Services Past Accepting new patients

Locations

101 8th St
Ste 100
Oakland, CA 94607
Phone (510) 735-3100

818 Webster St
Oakland, CA 94607
Phone (510) 986-6800

250 E 18th St
Fl 2
Oakland, CA 94606
Phone (510) 735-3888

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jleung273602@direct.ochin.org

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.

Hospital & facility affiliations 8

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": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508284800000",
    "number": "1457770935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E. 18TH STREET, 2ND FLOOR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94606",
            "telephone_number": "510-735-3888",
            "fax_number": "510-628-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E. 18TH STREET, 2ND FLOOR",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94606",
            "telephone_number": "510-735-3888",
            "fax_number": "510-628-0568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUNG",
        "first_name": "JESSICA",
        "middle_name": "ROBIN GAR LING",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-10",
        "last_updated": "2017-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A142518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.