Active NPI
Lisa Leung, N.P.
- Nurse Practitioner
- Corte Madera, CA
National Provider Identifier
1619272176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 732580
- Practice address
- 770 Tamalpais Dr
Suite 301
Corte Madera, CA 94925-1700 - Phone
- (415) 945-9314
- NPI assigned
- Jan 13, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 732580 | CA | Primary |
Addresses
Primary practice location
770 Tamalpais Dr
Suite 301
Corte Madera, CA 94925-1700
Mailing address
415 Euclid Ave
Apt. 11
San Francisco, CA 94118-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 732580 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382313600000",
"number": "1619272176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 EUCLID AVE",
"address_2": "APT. 11",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941182600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 TAMALPAIS DR",
"address_2": "SUITE 301",
"city": "CORTE MADERA",
"state": "CA",
"postal_code": "949251700",
"telephone_number": "415-945-9314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEUNG",
"first_name": "LISA",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-13",
"last_updated": "2013-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "732580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corte Madera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.