1. Home
  2. Directory
  3. California
  4. Venice
  5. Physical Therapist
  6. NPI Profile

KIN LOK LEUNG DPT
NPI 1629623368
Physical Therapist - Orthopedic in Venice, CA

Active since August 08, 2019Accepts Medicare Assignment
1600 MAIN ST FL 2, VENICE, CA 90291(888) 859-0145(888) 585-1601 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 7, 2023, Dec 3, 2021, Jan 14, 2021 and 1 more (4 updates tracked since 2019).

About Kin Lok Leung Dpt NPPES

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

KIN LOK LEUNG DPT (NPI 1629623368) is an individual orthopedic provider in Venice, California, licensed in California (296889) and active in the NPI registry since August 2019. He maintains 2 additional practice locations and is a graduate of Other (2019).

NPPES Registry Identity

NPI1629623368
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameKIN LOK LEUNGCredential: DPT
Location Address1600 MAIN ST FL 2Venice, CA 90291-3626
Mailing Address1600 Main St Fl 2Venice, CA 90291-3626 · (888) 859-0145 · Fax (888) 585-1601
Phone(888) 859-0145
Fax(888) 585-1601
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 8, 2019
Last NPPES UpdateDecember 7, 20234 updates tracked since enumeration
NPPES CertifiedDecember 7, 2023
✔ NPI 1629623368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in CA · 296889
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
1600 MAIN ST FL 2, Venice, CA 90291
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12500 Merced StSan Leandro, CA 94577-4201 · Phone (510) 454-1000
Location 23555 Whipple RdUnion City, CA 94587-1507 · Phone (510) 675-4289

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kin Lok Leung Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820404635
PECOS Enrollment IDI20210302002559

Medicare Billing Reassignment

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

Southern California Permanente Medical Group
6.5 mi
Health Maintenance Organization
6041 CADILLAC AVE
Los Angeles, CA 90034
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1043242563 (323) 857-2000

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 20

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

MR. RENWICK YOSHIO MAEDA PT MPT OCS GCFP
Physical Therapist
1600 MAIN ST FL 2
VENICE, CA 90291
Los Angeles County (888) 859-0145
MS. MELANIE GOYA DPT
Physical Therapist
1600 MAIN ST FL 2
VENICE, CA 90291
Los Angeles County (888) 859-0145
ANDREW GABRIEL DPT
Physical Therapist
1600 MAIN ST FL 2
VENICE, CA 90291
Los Angeles County (888) 859-0145
DR. KYLE REED IGUCHI PT, DPT
Physical Therapist
1600 MAIN ST FL 2
VENICE, CA 90291
Los Angeles County (888) 859-0145
MRS. EVA BUTLER
Physical Therapist
1600 MAIN ST FL 2
VENICE, CA 90291
Los Angeles County (888) 859-0145
DR. CASEY TARPEY DPT
Physical Therapist
1600 MAIN ST FL 2
VENICE, CA 90291
Los Angeles County (888) 859-0145
MR. BRIAN MENDEZ MPT, OCS, CSCS
Physical Therapist
1600 MAIN ST FL 2
VENICE, CA 90291
Los Angeles County (888) 859-0145
CHRISTOPHER MATTHEW MONPERE PT
Physical Therapist
1600 MAIN ST FL 2
VENICE, CA 90291
Los Angeles County (888) 859-0145

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 Kin Lok Leung's NPI number?

The NPI number for Kin Lok Leung is 1629623368. It was assigned to this individual provider in the NPPES registry on August 8, 2019.

Where is Kin Lok Leung located?

Kin Lok Leung practices at 1600 Main St Fl 2, Venice, CA 90291. The listed phone number is (888) 859-0145.

What is Kin Lok Leung's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Kin Lok Leung enrolled in Medicare?

Yes. Kin Lok Leung is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kin Lok Leung's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kin Lok Leung reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, 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 Kin Lok 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 Kin Lok Leung was last updated on December 7, 2023. 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.