Individual provider Active NPI

Cynthia Ho Yan Leung, FNP

  • Family Nurse Practitioner
  • Ceres, CA
National Provider Identifier
1689110322
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95006027 Issued in CA
Practice address
1920 Memorial Dr
Ceres, CA 95307-1827
Phone
(209) 538-1096
Fax
(209) 538-1099
NPI assigned
Jan 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP95006027 CA Primary
Registered Nurse 163W00000X RN95053114 CA

Addresses

Primary practice location

1920 Memorial Dr
Ceres, CA 95307-1827

Mailing address

737 W Childs Ave
Merced, CA 95341-6805
Phone (209) 384-6493

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20170615000987 CA Practitioner - Nurse Practitioner 9638447618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

13851 E 14TH St
Suite 308
San Leandro, CA 94578-2630
Phone (925) 463-1318

Merit-based Incentive Payment System (MIPS)

Final score
90.7 of 100Reported as group
Quality
72.06
Improvement activities
40
Cost
72.92

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN95053114CAMDRegistered Nurse
NP95006027CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Diablo Infectious Disease Consultative Service Med GRP Inc CurrentSince Aug 1, 2018 Accepting new patients

Locations

1141 Catalina Dr
#194
Livermore, CA 94550

13851 E 14th St
Ste 308
San Leandro, CA 94578
Phone (510) 351-1193

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1689110322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 W CHILDS AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953416805",
            "telephone_number": "209-384-6493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 MEMORIAL DR",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953071827",
            "telephone_number": "209-538-1096",
            "fax_number": "209-538-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUNG",
        "first_name": "CYNTHIA",
        "middle_name": "HO YAN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95006027",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN95053114",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ceres, CA

Sources for this page

Verify at the official NPI Registry.