Active NPI
Raymond W.P. Leung, M.D.
- Vascular Surgery Physician
- Anaheim, CA
National Provider Identifier
1871604686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- G48262
- Practice address
- 1717 E Lincoln Ave
Anaheim, CA 92805-4345 - Phone
- (714) 635-2642
- Fax
- (714) 635-8547
- NPI assigned
- Aug 31, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | G48262 | CA | |
| Vascular Surgery Physician | 2086S0129X | G48262 | CA | Primary |
Addresses
Primary practice location
1717 E Lincoln Ave
Anaheim, CA 92805-4345
Mailing address
16702 Valley View Ave
La Mirada, CA 90638-5824
Phone (714) 367-5360
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0084970 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G48262 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R Srinivasan MD Inc | Past | Accepting new patients | |
| Alpha Omega Multispecialty Group | Surgery | Past | Accepting new patients |
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 and National Provider Directory roles.
-
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- Monterey Park, CA
- NPI 1366564841
-
- Rheumatology Physician
- Monterey Park, CA
- NPI 1780733923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1871604686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16702 VALLEY VIEW AVE",
"city": "LA MIRADA",
"state": "CA",
"postal_code": "906385824",
"telephone_number": "714-367-5360",
"fax_number": "714-635-5428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 E LINCOLN AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928054345",
"telephone_number": "714-635-2642",
"fax_number": "714-635-8547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEUNG",
"first_name": "RAYMOND",
"middle_name": "W.P.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "G48262",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "CA",
"license": "G48262",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0084970",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.