Individual provider Active NPI

Bianca Marie Leung, PA-C, MS, RD

  • Physician Assistant
  • Scottsdale, AZ
National Provider Identifier
1467954644
Registry record updated Nov 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
8639 Issued in AZ
Practice address
7425 E Shea Blvd Ste 100
Scottsdale, AZ 85260-6411
Phone
(480) 285-2180
NPI assigned
Mar 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86026218 AZ
Physician Assistant 363A00000X 8639 AZ Primary

Addresses

Primary practice location

7425 E Shea Blvd Ste 100
Scottsdale, AZ 85260-6411

Mailing address

15407 S 184TH Dr
Goodyear, AZ 85338-3650
Phone (915) 540-3136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211217001019 AZ Practitioner - Physician Assistant 7810259843 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Afc of Surprise, PLLCGroup PAC ID 9133522675, 12 clinicians
Afc of Peoria PLLCGroup PAC ID 1052557337, 6 clinicians

Practice addresses (Care Compare)

14239 W Bell Rd
Suite 108
Surprise, AZ 85374-2470
Phone (623) 248-4283

15256 N 75TH Ave
Suite 360
Peoria, AZ 85381-4761
Phone (623) 486-2424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
86026218AZMDRegistered Dietitian
8639AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nextcare Arizona I JV LLC Current Accepting new patients
Flow Rheumatology, PLLC CurrentSince Nov 28, 2021 Accepting new patients
Premier Pain & Wellness Past Accepting new patients

Locations

2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172

450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574

1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844

17688 W Elliot Rd
Goodyear, AZ 85338
Phone (623) 889-6823

7425 E Shea Blvd
Ste 100
Scottsdale, AZ 85260
Phone (480) 285-2180

914 N Scottsdale Rd
Ste 104
Tempe, AZ 85288
Phone (480) 776-1620

9525 E Old Spanish Trl
Ste 101
Tucson, AZ 85748
Phone (520) 731-3666

1394 W 16th St
Yuma, AZ 85364
Phone (928) 539-0055

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637366400000",
    "number": "1467954644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15407 S 184TH DR",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853383650",
            "telephone_number": "915-540-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7425 E SHEA BLVD STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606411",
            "telephone_number": "480-285-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUNG",
        "first_name": "BIANCA",
        "middle_name": "MARIE",
        "credential": "PA-C, MS, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-05",
        "last_updated": "2021-11-20",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": "86026218",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "8639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.