DR. KENNETH TACK-KEN LEONG DO, MPH
NPI 1164788725
Student in an Organized Health Care Education/Training Program in Santa Clara, CA

Q: What is Kenneth Leong's NPI number?

The NPI number for Kenneth Leong is 1164788725. It was assigned to this individual provider in the NPPES registry on April 9, 2012.

Q: What is Kenneth Leong's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Leong was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 09, 2012PECOS Enrolled

700 LAWRENCE EXPY, INTERNAL MEDICINE RESIDENTS ROOM P3693, SANTA CLARA, CA 95051(408) 851-1000 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Dr. Kenneth Tack-ken Leong Do, Mph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH TACK-KEN LEONG DO, MPH (NPI 1164788725) is an individual student in an organized health care education/training program in Santa Clara, California and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164788725

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. KENNETH TACK-KEN LEONGCredential: DO, MPH

Location Address700 LAWRENCE EXPY, INTERNAL MEDICINE RESIDENTS ROOM P3693Santa Clara, CA 95051-5173

Mailing Address700 Lawrence Expy, Internal Medicine Residents Room P3693Santa Clara, CA 95051-5173 · (408) 851-1000

Phone(408) 851-1000

Sole ProprietorNo

Enumeration DateApril 9, 2012

Last NPPES UpdateDecember 15, 2021

✔ NPI 1164788725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

700 LAWRENCE EXPY, Santa Clara, CA 95051

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth Tack-ken Leong Do, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HUI WU MD

Hospitalist