Organization Active NPI

Dan Le Cardiology

  • Cardiovascular Disease Physician
  • Westminster, CA
National Provider Identifier
1063096477
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
DAN LE CARDIOLOGY
Doing business as
Advanced Cardiology
Practice address
9500 Bolsa Ave Unit P
Westminster, CA 92683-5943
Phone
(714) 714-0075
Fax
(833) 699-2097
NPI assigned
May 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Authorized official

Name
Dr. Dan Le, MDNPI 1912214347
Title
Owner/President
Phone
(714) 714-0075

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X
Nuclear Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207UN0901X

Addresses

Primary practice location

9500 Bolsa Ave Unit P
Westminster, CA 92683-5943

Mailing address

PO Box 20259
Fountain Valley, CA 92728-0259
Phone (714) 714-0075

Other names 1

  • Advanced Cardiology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211129001968 CA Part B Supplier - Clinic/Group Practice 3779987847 Receives reassigned benefits from 2 practitioners
Practice locations: Westminster, CA

National Provider Directory

National Provider Directory

Locations

14002 Beach Blvd
Westminster, CA 92683
Phone (657) 400-9900

9500 Bolsa Ave
Ste P
Westminster, CA 92683
Phone (714) 714-0075

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HGHECD

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1063096477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20259",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927280259",
            "telephone_number": "714-714-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 BOLSA AVE UNIT P",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835943",
            "telephone_number": "714-714-0075",
            "fax_number": "833-699-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAN LE CARDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "714-714-0075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Cardiology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Cardiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.