Active NPI
Larry Lee Leong
- Physical Therapist
- Union City, CA
National Provider Identifier
1871011908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 29473
- Practice address
- 30116 Eigenbrodt Way
Union City, CA 94587 - Phone
- (510) 826-6299
- NPI assigned
- Sep 8, 2017
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 29473 | CA | Primary |
Addresses
Primary practice location
30116 Eigenbrodt Way
Union City, CA 94587
Mailing address
30116 Eigenbrodt Way
Union City, CA 94587-1225
Phone (510) 826-6299
Other practice location 1
665 Appian Way
El Sobrante, CA 94803-1303
Phone (415) 235-0296
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535587200000",
"number": "1871011908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30116 EIGENBRODT WAY",
"city": "UNION CITY",
"state": "CA",
"postal_code": "945871225",
"telephone_number": "510-826-6299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30116 EIGENBRODT WAY",
"city": "UNION CITY",
"state": "CA",
"postal_code": "94587",
"telephone_number": "510-826-6299"
}
],
"practiceLocations": [
{
"address_1": "665 Appian Way",
"address_purpose": "LOCATION",
"city": "El Sobrante",
"state": "CA",
"postal_code": "948031303",
"country_code": "US",
"telephone_number": "415-235-0296",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE LEONG",
"first_name": "LARRY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-08",
"last_updated": "2018-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "29473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Union City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.