Active NPI
Albert G. Leung, D.D.S.
- General Practice Dentistry
- San Diego, CA
National Provider Identifier
1962610253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 43188
- Practice address
- 6565 Balboa Ave
Ste. B
San Diego, CA 92111-3154 - Phone
- (858) 279-2122
- Fax
- (858) 279-5495
- NPI assigned
- May 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 43188 | CA | Primary |
Addresses
Primary practice location
6565 Balboa Ave
Ste. B
San Diego, CA 92111-3154
Mailing address
6565 Balboa Ave
Ste. B
San Diego, CA 92111-3154
Phone (858) 279-2122
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43188 | CA | MD | Licensed Psychiatric Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albert G. Leung, DDS, Inc | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414368000000",
"number": "1962610253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6565 BALBOA AVE",
"address_2": "STE. B",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921113154",
"telephone_number": "858-279-2122",
"fax_number": "858-279-5495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6565 BALBOA AVE",
"address_2": "STE. B",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921113154",
"telephone_number": "858-279-2122",
"fax_number": "858-279-5495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEUNG",
"first_name": "ALBERT",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2014-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "43188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.