Active NPI
Geoffrey Won-Chen Leung, M.D.
- Family Medicine Physician
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A89812
- 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, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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 Riverside
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
| License | State | Type | Specialty |
|---|---|---|---|
| A89812 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Riverside | Current | Accepting new patients | |
| County of Riverside | Current | Accepting new patients |
Locations
308 E San Jacinto Ave
Perris, CA 92570
Phone (951) 940-6700
Interoperability endpoints
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| County of Riverside | Federally qualified health center | Operational/Managerial Control (100%) | Jul 1, 2012 |
| County of Riverside | Federally qualified health center | Corporate Director (100%) Operational/Managerial Control (100%) |
Jul 1, 2012 Jul 1, 2012 |
| County of Riverside | Federally qualified health center | Operational/Managerial Control (100%) | Jul 1, 2012 |
| County of Riverside | Federally qualified health center | Corporate Director (100%) Operational/Managerial Control (100%) |
Jul 1, 2012 Jul 1, 2013 |
| County of Riverside | 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.
-
- Federally Qualified Health Center (FQHC)
- Riverside, CA
- NPI 1003920943
Operational/Managerial Control
-
- Federally Qualified Health Center (FQHC)
- Hemet, CA
- NPI 1114031051
Corporate Director, Operational/Managerial Control
-
- Federally Qualified Health Center (FQHC)
- Perris, CA
- NPI 1194839035
Corporate Director, Operational/Managerial Control
-
- Federally Qualified Health Center (FQHC)
- Corona, CA
- NPI 1205940145
Operational/Managerial Control
-
- Federally Qualified Health Center (FQHC)
- Jurupa Valley, CA
- NPI 1871607713
Operational/Managerial Control
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.
-
- Federally Qualified Health Center (FQHC)
- Indio, CA
- NPI 1023122967
-
- Federally Qualified Health Center (FQHC)
- Banning, CA
- NPI 1346353679
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.