Individual provider Active NPI

Alexander Minh-Quan Le, M.D.

  • Vascular & Interventional Radiology Physician
  • Northridge, CA
National Provider Identifier
1033561816
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
A179330 Issued in CA
Practice address
18436 Roscoe Blvd
Northridge, CA 91325-4107
Phone
(818) 435-1400
NPI assigned
Jul 6, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A179330 CA
Student in an Organized Health Care Education/Training Program 390200000X
Vascular & Interventional Radiology Physician 2085R0204X A179330 CA Primary

Addresses

Primary practice location

18436 Roscoe Blvd
Northridge, CA 91325-4107

Mailing address

18436 Roscoe Blvd
Northridge, CA 91325-4107
Phone (818) 435-1400

Other practice location 1

20 York St
New Haven, CT 06510-3220
Phone (203) 688-4242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221228001317 CA Practitioner - Diagnostic Radiology 4789924085 Reassigns benefits to 2 organizations
I20250226001622 HI Practitioner - Diagnostic Radiology 4789924085 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golden State Imaging Associates IncGroup PAC ID 1254761315, 242 clinicians
Renaissance Imaging Medical Associates IncGroup PAC ID 7315841756, 126 clinicians

Practice addresses (Care Compare)

1000 W 8TH St
Apt 4706
Los Angeles, CA 90017-5965
Phone (818) 639-2901

149 Kawika PL
Honolulu, HI 96822-5006
Phone (818) 435-1433

18436 Roscoe Blvd
Northridge, CA 91325-4107
Phone (818) 435-1433

221 Mahalani St
Wailuku, HI 96793-2526
Phone (818) 639-2901

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A179330CAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Nov 16, 2022 Accepting new patients
Antelope Valley Outpatient Imaging Center, LLC Diagnostic Radiology CurrentSince Jan 1, 2022 Accepting new patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince Nov 11, 2022 Accepting new patients

Locations

17100 Euclid St
Ste 4004
Fountain Vly, CA 92708
Phone (714) 966-7200

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

44105 15th St W
Ste 100
Lancaster, CA 93534
Phone (661) 726-6050

2400 E 4th St
National City, CA 91950
Phone (619) 470-4141

18436 Roscoe Blvd
Northridge, CA 91325
Phone (805) 577-2012

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

3865 Jackson St
Riverside, CA 92503
Phone (909) 688-2211

501 Petaluma Ave
Sebastopol, CA 95472
Phone (707) 823-8511

4100 Guardian St
Ste 205
Simi Valley, CA 93063
Phone (805) 522-5940

3291 Loma Vista Rd
Ventura, CA 93003
Phone (805) 652-6000

16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222

221 Mahalani St
Wailuku, HI 96793
Phone (808) 242-2290

Interoperability endpoints

  • Direct secure messaging: ale515304@direct.ynhh.org

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1033561816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18436 ROSCOE BLVD",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254107",
            "telephone_number": "818-435-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18436 ROSCOE BLVD",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254107",
            "telephone_number": "818-435-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 York St",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065103220",
            "country_code": "US",
            "telephone_number": "203-688-4242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "ALEXANDER",
        "middle_name": "MINH-QUAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-06",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A179330",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A179330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.