Active NPI
Richard Leung, MD
- Ophthalmology Physician
- San Diego, CA
National Provider Identifier
1689845083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G48263
- Practice address
- 3075 Health Center Dr Ste 403
San Diego, CA 92123-2773 - Phone
- (858) 278-9900
- Fax
- (858) 278-9984
- NPI assigned
- Mar 13, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | G48263 | CA | Primary |
Addresses
Primary practice location
3075 Health Center Dr Ste 403
San Diego, CA 92123-2773
Mailing address
3075 Health Center Dr Ste 403
San Diego, CA 92123-2773
Phone (858) 278-9900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G482630 | Medicaid | CA |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48263 | CA | MD | Mental Health Counselor |
| G48263 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency and Acute Care Medical Corporation | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Thomas S Tooma M D a Professional Corporation | Ophthalmology | Past | Accepting new patients |
Locations
3075 Health Center Dr
Ste 403
San Diego, CA 92123
Phone (858) 278-9900
7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400
Interoperability endpoints
- rleung81254@scrippshlth.medalliesdirect.net
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1437103942
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Ophthalmology Physician
- Newport Beach, CA
- NPI 1922129865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396915200000",
"number": "1689845083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3075 HEALTH CENTER DR STE 403",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921232773",
"telephone_number": "858-278-9900",
"fax_number": "858-278-9984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3075 HEALTH CENTER DR STE 403",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921232773",
"telephone_number": "858-278-9900",
"fax_number": "858-278-9984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEUNG",
"first_name": "RICHARD",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-13",
"last_updated": "2014-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "G48263",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G482630",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.