Individual provider Active NPI

Susan P. Le, MD

  • Family Medicine Physician
  • Turlock, CA
National Provider Identifier
1073691572
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A89810 Issued in CA
Practice address
2010 Colorado Ave
Turlock, CA 95382-2002
Phone
(209) 667-1718
Fax
(209) 667-1719
NPI assigned
Nov 1, 2006
Last updated
Sep 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A89810 CA Primary

Addresses

Primary practice location

2010 Colorado Ave
Turlock, CA 95382-2002

Mailing address

4021 Thornhill Way
Modesto, CA 95356-9351
Phone (209) 667-1718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050930000256 CA Practitioner - Family Practice 9133154875 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Turlock Urgent Care CenterGroup PAC ID 6507391521, 2 clinicians
Manteca Urgent Care IncGroup PAC ID 8628344009, 2 clinicians

Practice addresses (Care Compare)

2010 Colorado Ave
Turlock, CA 95382-2002
Phone (209) 585-1066

241 W Yosemite Ave
Manteca, CA 95336-5603
Phone (209) 239-0320

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue80
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
89810CAMDPharmacist
A89810CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Turlock Urgent Care Family Medicine CurrentSince Jun 10, 2020 Accepting new patients
Turlock Urgent Care Center Family Medicine CurrentSince Sep 17, 2024 Accepting new patients
Manteca Urgent Care, Inc Family Medicine CurrentSince Dec 1, 2024 Accepting new patients

Locations

241 W Yosemite Ave
Manteca, CA 95336
Phone (209) 239-0320

2010 Colorado Ave
Turlock, CA 95382
Phone (209) 632-1400

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1073691572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 THORNHILL WAY",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569351",
            "telephone_number": "209-667-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 COLORADO AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822002",
            "telephone_number": "209-667-1718",
            "fax_number": "209-667-1719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "SUSAN",
        "middle_name": "P.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A89810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

Verify at the official NPI Registry.