Active NPI
Benjamin Y Leong MD Inc
- Surgery Physician
- Riverside, CA
National Provider Identifier
1639497209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A106797
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Benjamin Y Leong, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Surgery Physician
- Riverside, CA
- NPI 1629239165
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.