Individual provider Active NPI

Geoffrey Won-Chen Leung, M.D.

  • Family Medicine Physician
  • Riverside, CA
National Provider Identifier
1831261155
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A89812 Issued in CA
Practice address
9415 Mission Blvd
Riverside, CA 92509-2600
Phone
(951) 360-8795
Fax
(951) 360-8798
NPI assigned
Nov 14, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A89812 CA Primary

Addresses

Primary practice location

9415 Mission Blvd
Riverside, CA 92509-2600

Mailing address

4065 County Circle Dr
Room 309
Riverside, CA 92503-3410
Phone (951) 358-5222

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080124000247 CA Practitioner - Family Practice 7719069137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Baylor College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of RiversideGroup PAC ID 6507754488, shared by 16 NPIs, 190 clinicians

Practice addresses (Care Compare)

191 N Sunrise Way
Palm Springs, CA 92262-5201
Phone (760) 778-2210

47825 Oasis St
Indio, CA 92201-6950
Phone (760) 863-8517

7140 Indiana Ave
Riverside, CA 92504-4544
Phone (951) 358-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A89812CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Riverside Current Accepting new patients
County of Riverside CurrentSince May 1, 2016 Accepting new patients

Locations

308 E San Jacinto Ave
Perris, CA 92570
Phone (951) 940-6700

Interoperability endpoints

  • Direct secure messaging: gleung96809@direct.llu.edu

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
County of RiversideJurupa Valley, CA, CCN 051059 Federally qualified health center Operational/Managerial Control (100%) Jul 1, 2012
County of RiversideHemet, CA, CCN 551829 Federally qualified health center Corporate Director (100%)
Operational/Managerial Control (100%)
Jul 1, 2012
Jul 1, 2012
County of RiversideRiverside, CA, CCN 551827 Federally qualified health center Operational/Managerial Control (100%) Jul 1, 2012
County of RiversidePerris, CA, CCN 551825 Federally qualified health center Corporate Director (100%)
Operational/Managerial Control (100%)
Jul 1, 2012
Jul 1, 2013
County of RiversideCorona, CA, CCN 551824 Federally qualified health center Operational/Managerial Control (100%) Jul 10, 2012

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1831261155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4065 COUNTY CIRCLE DR",
            "address_2": "ROOM 309",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033410",
            "telephone_number": "951-358-5222",
            "fax_number": "951-358-5235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9415 MISSION BLVD",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925092600",
            "telephone_number": "951-360-8795",
            "fax_number": "951-360-8798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUNG",
        "first_name": "GEOFFREY",
        "middle_name": "WON-CHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A89812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.