Individual provider Active NPI

Vincent C Leung, MD

  • Orthopaedic Hand Surgery Physician
  • Stockton, CA
National Provider Identifier
1972558021
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
G52006 Issued in CA
Practice address
2488 N California St
Alpine Orthopaedic Medical Group Inc
Stockton, CA 95204-5508
Phone
(209) 948-3333
Fax
(209) 948-2665
NPI assigned
May 24, 2006
Last updated
May 24, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G52006 CA
Orthopaedic Hand Surgery Physician 207XS0106X G52006 CA Primary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X G52006 CA
Orthopaedic Trauma Physician 207XX0801X G52006 CA

Addresses

Primary practice location

2488 N California St
Alpine Orthopaedic Medical Group Inc
Stockton, CA 95204-5508

Mailing address

2488 N California St
Alpine Orthopaedic Medical Group Inc
Stockton, CA 95204-5508
Phone (209) 948-3333

Other identifiers 5

IdentifierTypeStateIssuer
CGP159090OtherCGP
0368640001OtherDMERC
200010333OtherRR MEDICARE
ZZZ71793ZMedicaidCA
195690700OtherUSDL

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

LicenseStateTypeSpecialty
52006CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337817600000",
    "number": "1972558021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2488 N CALIFORNIA ST",
            "address_2": "ALPINE ORTHOPAEDIC MEDICAL GROUP INC",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045508",
            "telephone_number": "209-948-3333",
            "fax_number": "209-948-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2488 N CALIFORNIA ST",
            "address_2": "ALPINE ORTHOPAEDIC MEDICAL GROUP INC",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045508",
            "telephone_number": "209-948-3333",
            "fax_number": "209-948-2665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEUNG",
        "first_name": "VINCENT",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2012-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G52006",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CA",
            "license": "G52006",
            "primary": true
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "CA",
            "license": "G52006",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "CA",
            "license": "G52006",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CGP",
            "identifier": "CGP159090",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0368640001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "200010333",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ71793Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USDL",
            "identifier": "195690700",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.