Organization Active NPI

Benjamin Y Leong MD Inc

  • Surgery Physician
  • Riverside, CA
National Provider Identifier
1639497209
Registry record updated Dec 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A106797 Issued in CA
Legal business name
BENJAMIN Y LEONG MD INC
Practice address
4000 14TH St Ste 412
Riverside, CA 92501-4010
Phone
(951) 468-8252
NPI assigned
May 6, 2010
Last updated
Dec 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2013

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

Authorized official

Name
Benjamin Y Leong, MDNPI 1629239165
Title
President
Phone
(914) 275-6705

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A106797 CA Primary

Addresses

Primary practice location

4000 14TH St Ste 412
Riverside, CA 92501-4010

Mailing address

2083 Compton Ave Ste 103
Corona, CA 92881-7288
Phone (951) 468-8252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100902000875 CA Part B Supplier - Clinic/Group Practice 9638293285 Receives reassigned benefits from 1 practitioner
Practice locations: Sun City, CA; Wildomar, CA; Temecula, CA; Riverside, CA; Murrieta, CA; Corona, CA

National Provider Directory

National Provider Directory

Locations

4000 14th St
Ste 412
Riverside, CA 92501
Phone (310) 672-9999

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387411200000",
    "number": "1639497209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2083 COMPTON AVE STE 103",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928817288",
            "telephone_number": "951-468-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 14TH ST STE 412",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014010",
            "telephone_number": "951-468-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN Y LEONG MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-06",
        "last_updated": "2013-12-19",
        "status": "A",
        "authorized_official_last_name": "LEONG",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-275-6705",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A106797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.