DR. GREGORY BRUCE LEONG (NPI# 1174592158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174592158 |
| Entity Type | Individual |
| Full Name | DR. GREGORY BRUCE LEONG |
| Credential | M.D. |
| Practice Address |
3102 E Highland Ave Patton CA 92369-7813 |
| Practice Telephone | 9094256509 |
| Mailing Telephone | 9094256509 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2012-07-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
MD00025101 | WA | Allopathic & Osteopathic Physicians |
| Y | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
G34482 | CA | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
G34482 | CA | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD00025101 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992272660 | Gregory Joseph Leong | Occupational Therapist | 1609 Golden Cypress Way, Sacramento, CA 95834-2483 | 2018-10-31 |
| Street Address |
3102 E HIGHLAND AVE |
| City | PATTON |
| State | CA |
| Zip Code | 92369-7813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851830053 | Hong Nguyen | Pharmacist | 3102 E Highland Ave, Patton, CA 92369-7813 | 2017-02-21 |
| 1215476627 | Hai Nguyen | Pharmacist | 3102 E Highland Ave, Patton, CA 92369-7813 | 2017-02-17 |
| 1669866042 | Eddie Lee Diaz | Pharmacist | 3102 E Highland Ave, Main Phamacy, Patton, CA 92369-7813 | 2015-03-24 |
| 1043620578 | Jeffrey Walsh | Psychiatry & Neurology | 3102 E Highland Ave, Patton, CA 92369 | 2014-05-06 |
| 1386065274 | Shobha George | Social Worker | 3102 E Highland Ave, Patton, CA 92369-7813 | 2013-12-19 |
| 1629416482 | Johnnie Chi | Psychiatry & Neurology | 3102 E Highland Ave, Patton, CA 92369-7813 | 2013-06-13 |
| 1144576299 | Chen-ying Wu | Psychiatry & Neurology | 3102 E Highland Ave, Patton, CA 92369-7813 | 2012-07-26 |
| 1598025165 | Loren Carrillo King | Psychologist | 3102 E Highland Ave, Patton, CA 92369-7813 | 2012-05-16 |
| 1235401050 | Joy Tuesday Ramas Engracia | Nurse Practitioner | 3102 E Highland Ave, Patton, CA 92369-7813 | 2012-02-09 |
| 1932494432 | Jason M. Bailie | Clinical Neuropsychologist | 3102 E Highland Ave, Patton, CA 92369-7813 | 2011-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598095606 | Carolyn Boosalis Foley | Psychologist | 3102 E Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2010-01-12 |
| 1023255478 | Crystal Mueller | Psychologist | 3102 E. Highland Ave., Patton State Hospital, Patton, CA 92369 | 2009-01-07 |
| 1487698304 | Nitin Kulkarni | Psychiatry & Neurology | 3102. E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2006-06-15 |
| 1174562680 | Flavia Jorge | Psychologist | 3102 E.highland Avenue, Patton, CA 92369 | 2006-06-06 |
| 1326090127 | Mendel Jonathan Feldsher | Psychiatry & Neurology | 3102 East Highland Avenue, Patton, CA 92369 | 2006-05-17 |
| 1124070560 | Liana Niculina Tanase | Psychiatry & Neurology | 3102 E. Highland Ave, Medical Staff Office, Patton, CA 92369 | 2006-05-16 |
| 1518919802 | Manuel B Desagun | Psychiatry & Neurology | 3102 East Highway Ave, Patton, CA 92369 | 2006-05-16 |
| 1225080633 | John I Benson | Psychiatry & Neurology | 3102 East Highland Ave, Patton, CA 92369 | 2006-05-16 |
| 1295735298 | Bruce L Karp | Psychologist | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2005-08-01 |
| 1245739655 | Miriam Irvin | Social Worker | 3102 E Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2018-02-12 |
| Find all providers in zip 92369 | ||||
| Taxonomy Code | 2084F0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Forensic Psychiatry |
| Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275824328 | Shree Nitya Sarathy | Psychiatry & Neurology | 3102 E. Highland Avenue, Medical Staff Office, Patton, CA 92369 | 2011-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316586522 | Peter Robin Kimmel | Psychiatry & Neurology | 9050 Broadway Ter, Oakland, CA 94611-1952 | 2020-01-06 |
| 1437546355 | Gilbert W Kliman | Psychiatry & Neurology | 573 Summerfield Rd, Santa Rosa, CA 95405-5239 | 2015-04-17 |
| 1427378389 | Michel Ross Mandel | Psychiatry & Neurology | 1828 South St, Redding, CA 96001-1809 | 2010-06-02 |
| 1013237064 | Artha Gillis | Psychiatry & Neurology | 760 Westwood Plz Rm C8-193, Los Angeles, CA 90024-5055 | 2010-06-01 |
| 1942538343 | Alex Sahba Md, A Medical Corp | Psychiatry & Neurology | 2355 Westwood Blvd # 129, Los Angeles, CA 90064-2109 | 2009-11-23 |
| 1235362237 | Eric Henry Marcus | Psychiatry & Neurology | 2648 W Canyon Ave, San Diego, CA 92123-4684 | 2009-08-25 |
| 1689803884 | Albert Shnaider | Psychiatry & Neurology | 5833 Cahill Ave, Tarzana, CA 91356-1205 | 2009-07-08 |
| 1538309745 | David J Sheffner | Psychiatry & Neurology | 320 Superior Ave Ste 330, Newport Beach, CA 92663-2772 | 2009-02-27 |
| 1710123112 | Kenneth I. Gottlieb, M.d. A Professional Corporation | Psychiatry & Neurology | 909 Hyde St Ste 430, San Francisco, CA 94109-4846 | 2009-01-06 |
| 1700035367 | Todd Stuart Elwyn | Psychiatry & Neurology | 1000 Marina Boulevard, Suite 100, Brisbane, CA 94005-1839 | 2008-09-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.