KEOKI LAWRENCE GOEAS LEONG (NPI# 1760092688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760092688 |
| Entity Type | Individual |
| Full Name | KEOKI LAWRENCE GOEAS LEONG |
| Practice Address |
4610 X St Sacramento CA 95817-2200 |
| Mailing Address |
1249 Berkshire Dr Palmdale CA 93551-4034 |
| Practice Telephone | 9167342145 |
| Mailing Telephone | 7022854948 |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2020-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4610 X ST |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95817-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225195456 | Sarah Bateni | Student in an Organized Health Care Education/Training Program | 4610 X St, Sacramento, CA 95817-2200 | 2007-01-03 |
| 1629679501 | Josephine Hai | Student in an Organized Health Care Education/Training Program | 4610 X St, Sacramento, CA 95817-2200 | 2020-11-05 |
| 1083215313 | Andrea G Kulinich | Student in an Organized Health Care Education/Training Program | 4610 X St, Sacramento, CA 95817-2200 | 2020-11-03 |
| 1730789884 | Jacqueline Ann Williams | Student in an Organized Health Care Education/Training Program | 4610 X St, Sacramento, CA 95817-2200 | 2020-10-28 |
| 1477151587 | Wendy Yam | Student in an Organized Health Care Education/Training Program | 4610 X St, Sacramento, CA 95817-2200 | 2020-10-12 |
| 1144828211 | Diego Xavier Torres | Student in an Organized Health Care Education/Training Program | 4610 X St, Sacramento, CA 95817-2200 | 2020-10-12 |
| 1790392488 | Alicia M Hobbs | Student in an Organized Health Care Education/Training Program | 4610 X St, Sacramento, CA 95817-2200 | 2020-09-26 |
| 1093321135 | Morgan Kumro | Student in an Organized Health Care Education/Training Program | 4610 X St, Sacramento, CA 95817-2200 | 2020-09-22 |
| 1609482967 | Ashley Abraham | Student in an Organized Health Care Education/Training Program | 4610 X St, Sacramento, CA 95817-2200 | 2020-09-21 |
| 1942816202 | Tien Lu | Student in an Organized Health Care Education/Training Program | 4610 X St, Sacramento, CA 95817-2200 | 2020-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
| 1285259283 | Uc Davis Health | Dietitian, Registered | 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 | 2020-06-15 |
| 1942840558 | Michael Marchand-gareau | Ophthalmology | Michael Marchand - Uc Davis Eye Center, 4860 Y Street, Suite 2400, Sacramento, CA 95817 | 2020-01-11 |
| 1467010728 | Jiunn Liang Jonathan Yap | Student in an Organized Health Care Education/Training Program | 4860 Y Str, Ste. 2820, Sacramento, CA 95817 | 2019-06-03 |
| 1083176614 | Kevin Lee | Student in an Organized Health Care Education/Training Program | 2315 Stockton Blvd, Op512, Sacramento, CA 95817 | 2019-04-02 |
| 1508326703 | Ritika Johal | Student in an Organized Health Care Education/Training Program | 4150 V Street, Pssb 1200, Sacramento, CA 95817 | 2019-03-22 |
| 1811468838 | Paige Palsgaard | Behavior Technician | 6730 4th Ave Apt 1731d, Sacramento, CA 95817 | 2018-12-17 |
| 1922503408 | Marie Rossi | Student in an Organized Health Care Education/Training Program | 4150 V Street #1100, Sacramento, CA 95817 | 2018-03-27 |
| 1639673791 | Sean Lam | Student in an Organized Health Care Education/Training Program | 4150 V Street #1200, Sacramento, CA 95817 | 2018-03-22 |
| 1124555388 | Tatyana Polyak | Surgery | 2335 Stockton Blvd., Naob 6th Floor, Sacramento, CA 95817 | 2017-05-18 |
| Find all providers in zip 95817 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457963944 | Harlan William Monahan | Physician Assistant | 5210 Del Rio Rd, Sacramento, CA 95822-2519 | 2020-08-18 |
| 1548740541 | Genevieve Clara Towne | Physician Assistant | 4132 B St, Sacramento, CA 95819-2121 | 2018-08-19 |
| 1841577863 | Amy R. Quarre | Physician Assistant | 2408 Q St Apt 1, Sacramento, CA 95816-6837 | 2011-11-04 |
| 1356673214 | Gay D Ayers | Physician Assistant | 4460 Duckhorn Dr, Sacramento, CA 95834-2593 | 2010-02-03 |
| 1477795805 | Flene A Folsom | Physician Assistant | 4400 Duckhorn Drive, Sacramento, CA 95834 | 2009-03-31 |
| 1154566552 | Mikhail G Karton | Physician Assistant | 701 Howe Ave Ste C1, Sacramento, CA 95825-4670 | 2008-12-13 |
| 1881603629 | Ja Yang | Physician Assistant | 3811 Florin Rd Ste 9, Sacramento, CA 95823-1818 | 2006-08-07 |
| 1801899836 | Sarah L Zichella | Physician Assistant | 2801 K St, Suite 410, Sacramento, CA 95816-5120 | 2005-05-23 |
| 1285247049 | Thanh Trung Pham | Physician Assistant | 4610 X St, Sacramento, CA 95817-2200 | 2020-08-30 |
| 1053933978 | Emily Catherine Clyma | Physician Assistant | 2725 Capitol Ave Dept 402, Sacramento, CA 95816-6032 | 2020-05-13 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95817 |
Please comment or provide details below to improve the information on KEOKI LAWRENCE GOEAS LEONG.
| 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.