Individual provider Active NPI

Leonard H.S. Chuck, MD

  • Internal Medicine Physician
  • Alamo, CA
National Provider Identifier
1831139385
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G54176 Issued in CA
Practice address
1505 Saint Alphonsus Way
Alamo, CA 94507-1570
Phone
(925) 952-2888
Fax
(925) 952-2845
NPI assigned
Jun 6, 2006
Last updated
Jul 25, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G54176 CA Primary

Addresses

Primary practice location

1505 Saint Alphonsus Way
Alamo, CA 94507-1570

Mailing address

PO Box 9017
Walnut Creek, CA 94598-0917
Phone (925) 952-2888

Other identifiers 1

IdentifierTypeStateIssuer
00G541760MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G54176CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John Muir Physician Network Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1831139385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9017",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945980917",
            "telephone_number": "925-952-2888",
            "fax_number": "925-952-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 SAINT ALPHONSUS WAY",
            "city": "ALAMO",
            "state": "CA",
            "postal_code": "945071570",
            "telephone_number": "925-952-2888",
            "fax_number": "925-952-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUCK",
        "first_name": "LEONARD",
        "middle_name": "H.S.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G54176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G541760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; 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.