Elizabeth M Leung, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

15004 Issued in CA

Practice address

4354 Latham St
Riverside, CA 92501-1777

Phone

(951) 642-2519

NPI assigned

Aug 14, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1770139859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6021 FOXFIELD LN",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928865822",
            "telephone_number": "951-833-8618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4354 LATHAM ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925011777",
            "telephone_number": "951-642-2519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUNG",
        "first_name": "ELIZABETH",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "15004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aurelia Lespron
• Cristine M. Lestage
• Laureen A Lester, PSYD
• Ladette Patrice Lettman, RADT
• Bryant C. Leung III, MD
• Geoffrey Won-Chen Leung, M.D.
• Kevin Leung
• Caroline Delaine Levanovic, PA-C
• Jenary Leverette
• Katherine A. Levernier, MD

• Medical Physician Assistant in Riverside, CA
• Providers in Riverside, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.