KEOKI LAWRENCE GOEAS LEONG
NPI 1760092688
Physician Assistant - Medical in Sacramento, CA

Active since August 05, 2020PECOS EnrolledAccepts Medicare Assignment
4610 X ST, SACRAMENTO, CA 95817(916) 734-2145 Get Directions Write a Review

NPPES record last updated: August 5, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Keoki Lawrence Goeas Leong NPPES

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

KEOKI LAWRENCE GOEAS LEONG (NPI 1760092688) is an individual medical provider in Sacramento, California and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1760092688
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameKEOKI LAWRENCE GOEAS LEONG
Location Address4610 X STSacramento, CA 95817-2200
Mailing Address1249 Berkshire DrPalmdale, CA 93551-4034 · (702) 285-4948
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 5, 2020
NPPES CertifiedAugust 5, 2020
NPI 1760092688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
4610 X ST, Sacramento, CA 95817

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Keoki Lawrence Goeas Leong 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 ID5698182095
PECOS Enrollment IDI20210331002758
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
35 services26 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients

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.

Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817
Emergency Medicine
4610 X ST
SACRAMENTO, CA 95817
Specialist
4610 X ST
SACRAMENTO, CA 95817
Student in an Organized Health Care Education/Training Program
4610 X ST
SACRAMENTO, CA 95817

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 Keoki Leong's NPI number?

The NPI number for Keoki Leong is 1760092688. It was assigned to this individual provider in the NPPES registry on August 5, 2020.

Where is Keoki Leong located?

Keoki Leong practices at 4610 X St, Sacramento, CA 95817. The listed phone number is (916) 734-2145.

What is Keoki Leong's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Keoki Leong enrolled in Medicare?

Yes. Keoki Leong 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.

When was this NPI record last updated?

The NPPES record for Keoki Leong was last updated on August 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.