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TIFFANY LEUNG RD
NPI 1467219915
Dietitian, Registered in Stockton, CA

Active since March 01, 2024
2349 N CALIFORNIA ST, STOCKTON, CA 95204(209) 469-2229 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tiffany Leung Rd NPPES

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

TIFFANY LEUNG RD (NPI 1467219915) is an individual dietitian, registered in Stockton, California, licensed in California (86359588) and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1467219915
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameTIFFANY LEUNGCredential: RD
Location Address2349 N CALIFORNIA STStockton, CA 95204-5505
Mailing Address2349 N California StStockton, CA 95204-5505 · (209) 469-2229
Phone(209) 469-2229
Sole ProprietorNo
Enumeration DateMarch 1, 2024
Last NPPES UpdateMarch 15, 2024
NPPES CertifiedMarch 15, 2024
✔ NPI 1467219915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in CA · 86359588
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
2349 N CALIFORNIA ST, Stockton, CA 95204
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tiffany Leung Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Tiffany Leung reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Medical Centers, Inc
1.1 mi
Federally Qualified Health Center (FQHC)
1031 WATERLOO RD
Stockton, CA 95205
  • Reassigned Medicare billing, California enrollment
  • 154 clinicians in this Medicare group
NPI 1285059923 (209) 940-5600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 11

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

MISS PINKI L GOSWAMI PNP
Nurse Practitioner
2349 N CALIFORNIA ST
STOCKTON, CA 95204
San Joaquin County (209) 469-2229
VICTORIA FRANCO
Community Health Worker
2349 N CALIFORNIA ST
STOCKTON, CA 95204
San Joaquin County (209) 373-2800
JAMES ERNEST JOHNSON III RD
Dietitian, Registered
2349 N CALIFORNIA ST
STOCKTON, CA 95204
San Joaquin County (209) 469-2229
DR. SHILPA SAMMETA M.D.
Psychiatry & Neurology (Psychiatry)
2349 N CALIFORNIA ST
STOCKTON, CA 95204
San Joaquin County (209) 469-2229
KRANTHI NANDAN SEELABOYINA M.D.
Pediatrics
2349 N CALIFORNIA ST
STOCKTON, CA 95204
San Joaquin County (209) 469-2229
COMMUNITY MEDICAL CENTERS INC
Clinic/Center (Federally Qualified Health Center (FQHC))
2349 N CALIFORNIA ST
STOCKTON, CA 95204
San Joaquin County (209) 469-2229
ANUSHRI OZA M.D.
Pediatrics
2349 N CALIFORNIA ST
STOCKTON, CA 95204
San Joaquin County (209) 469-2229
DR. SIVA PAVANI NALLAM MD
Pediatrics
2349 N CALIFORNIA ST
STOCKTON, CA 95204
San Joaquin County (209) 469-2229

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tiffany Leung's NPI number?

The NPI number for Tiffany Leung is 1467219915. It was assigned to this individual provider in the NPPES registry on March 1, 2024.

Where is Tiffany Leung located?

Tiffany Leung practices at 2349 N California St, Stockton, CA 95204. The listed phone number is (209) 469-2229.

What is Tiffany Leung's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Tiffany Leung enrolled in Medicare?

Yes. Tiffany Leung is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tiffany Leung's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Leung reassigns Medicare benefits to Community Medical Centers, Inc (Stockton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tiffany Leung's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tiffany Leung was last updated on March 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.