Active NPI
Brian Sun Leo, M.D.
- Family Medicine Physician
- Vacaville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A101701
- Practice address
- 2100 Peabody Rd
Vacaville, CA 95687-6639 - Phone
- (707) 451-0182
- NPI assigned
- Jan 9, 2008
- 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 | A101701 | CA | Primary |
Addresses
Primary practice location
2100 Peabody Rd
Vacaville, CA 95687-6639
Mailing address
2100 Peabody Rd
Vacaville, CA 95687-6639
Phone (707) 451-0182
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090914000678 | CA | Practitioner - Family Practice | 5597811778 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- County of Santa Clara
Practice addresses (Care Compare)
751 S Bascom Ave
Santa Clara Vly Med
San Jose, CA 95128-2604
Phone (408) 885-5000
Hospital & facility affiliations
- Santa Clara Valley Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 61 of 100
- Quality
- 59.41
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 71.45
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A101701 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corrections and Rehabilitation-Headquarters | Current | Accepting new patients | |
| County of Santa Clara | Family Medicine | Current | Accepting new patients |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| State of California Prison Industry Authority | Past | Accepting new patients | |
| County of Santa Clara | Past | Accepting new patients | |
| California Deparmen of Correction | Past | Accepting new patients |
Locations
7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400
1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846
500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433
750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320
2400 Moorpark Ave
San Jose, CA 95128
Phone (408) 885-7675
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
2400 Moorpark Ave
Ste 118
San Jose, CA 95128
Phone (408) 885-6627
1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320
2400 Moorpark Ave
Fl 1
San Jose, CA 95128
660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366
2100 Peabody Rd
Vacaville, CA 95687
Phone (707) 451-0182
Interoperability endpoints
- bleo57074@santaclaravalley.direct-ci.net
Organizations & group practices 10
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
CA
-
- Pharmacy
- Vacaville, CA
- NPI 1124648712
-
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1043354020
-
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1376538991
-
- Pharmacy
- San Jose, CA
- NPI 1891871919
-
- Federally Qualified Health Center (FQHC)
- Gilroy, CA
- NPI 1922093533
-
- Public Health or Welfare Agency
- Tracy, CA
- NPI 1922210434
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
-
- Eyewear Supplier
- Vacaville, CA
- NPI 1588871669
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637539200000",
"number": "1891970745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 PEABODY RD",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956876639",
"telephone_number": "707-451-0182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 PEABODY RD",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956876639",
"telephone_number": "707-451-0182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEO",
"first_name": "BRIAN",
"middle_name": "SUN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-09",
"last_updated": "2021-11-22",
"certification_date": "2021-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A101701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vacaville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.