Active NPI
Crystal Nguyen Le, M.D.
- Pediatrics Physician
- San Diego, CA
National Provider Identifier
1003028416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A97634
- Practice address
- 3020 Children'S Way
MC 5008
San Diego, CA 92123 - Phone
- (858) 966-5818
- NPI assigned
- May 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A97634 | CA | Primary |
Addresses
Primary practice location
3020 Children'S Way
MC 5008
San Diego, CA 92123
Mailing address
3020 Children'S Way
MC 5008
San Diego, CA 92123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A97634 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| Children'S Hospital Pediatric Associates, Inc | Pediatrics | Past | Accepting new patients |
| Marilyn Kaufhold, M.D., a Medical Corporation | Past | Accepting new patients |
Interoperability endpoints
- cle28130@scrippshlth.medalliesdirect.net
- cle11110@radychildrens.direct-ci.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Children's Hospital
- San Diego, CA
- NPI 1336359389
-
- Pediatrics Physician
- Boston, MA
- NPI 1457306664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302048000000",
"number": "1003028416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 CHILDREN'S WAY",
"address_2": "MC 5008",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3020 CHILDREN'S WAY",
"address_2": "MC 5008",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92123",
"telephone_number": "858-966-5818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "CRYSTAL",
"middle_name": "NGUYEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-06",
"last_updated": "2011-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A97634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.