Leon Yan, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A80360 Issued in CA

Practice address

29995 Technology Dr Unit A100
Murrieta, CA 92563-2632

Phone

(951) 412-1610

NPI assigned

Jan 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: leon.yan.p1@direct.cdsdp.nextgenshare.com

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.

• Clinicas de Salud del Pueblo, Inc

  • Federally Qualified Health Center (FQHC)
  • El Centro, CA
  • NPI 1346313889
  Medicare reassignment NPD
• Leon Yan MD

  • Clinic/Center
  • Murrieta, CA
  • NPI 1174128482
  NPD Authorized official
• Prodigy Medical Service Inc

  • Health Service Clinic/Center
  • San Diego, CA
  • NPI 1295420743
  NPD Authorized official
• Summit Pediatric Medical Clinic Inc

  • Pediatrics Physician
  • Murrieta, CA
  • NPI 1841875515
  NPD Authorized official
• Clinicas de Salud del Pueblo Inc.

  • Community/Retail Pharmacy
  • El Centro, CA
  • NPI 1962045872
  NPD
• Clinicas de Salud del Pueblo, Inc

  • Federally Qualified Health Center (FQHC)
  • Indio, CA
  • NPI 1093138430
  NPD
• Universal Healthcare Services, Inc.

  • Family Medicine Physician
  • Bakersfield, CA
  • NPI 1336027671
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1962569228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30632 RIDGECREST RD",
            "city": "WINCHESTER",
            "state": "CA",
            "postal_code": "925963506",
            "telephone_number": "760-851-6740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29995 TECHNOLOGY DR UNIT A100",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632632",
            "telephone_number": "951-412-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAN",
        "first_name": "LEON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A80360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Ahsley Wright
• Nancy L Wulff-Ferrell, R.N.P.
• Gregory M Wyatt, M.D.
• Steven Wyte
• Robert David Yamaguchi, DO
• Brian E. Yang, MD
• Charles C Yang, M.D.
• Hazel Yap, D.M.D.
• Crystal Yeager
• Yecenia Lopez Chiropractic Professional Corporation

• Pediatrics Physician in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.