Frederic J Leong MD Inc

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

G71490 Issued in CA

Legal business name

FREDERIC J LEONG MD INC

Practice address

555 Marin St.
Suite #220
Thousand Oaks, CA 91360

Phone

(805) 497-7214

Fax

(805) 497-0864

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Patricia Ann Waite

Title

Office MGR

Phone

(805) 497-7214

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294790400000",
    "number": "1801953237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 MARIN ST",
            "address_2": "#220",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604236",
            "telephone_number": "805-497-7214",
            "fax_number": "805-497-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 MARIN ST.",
            "address_2": "SUITE #220",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "91360",
            "telephone_number": "805-497-7214",
            "fax_number": "805-497-0864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERIC J LEONG MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2011-01-12",
        "status": "A",
        "authorized_official_last_name": "WAITE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "805-497-7214",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "CA",
            "license": "G71490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G714901",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raymond Franco Jr., BA
• Corrado Franini
• Jerri Lynne Frank, PHD MFT
• Rebecca Frantz, PHD, BCBA
• Shawn Frederick Frazier
• Lindsay Mae Frieder, RD
• Paulina Friedl, NONE
• Joel Lloyd Friedman, DO
• Frontline Healthcare 3, Professional Corporation
• Frontline Healthcare Endocrinology LLC

• Pediatric Cardiology Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Pediatric Cardiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.