Active NPI
Calvin Nguyen Le, DDS
- Pediatric Dentistry
- Aliso Viejo, CA
National Provider Identifier
1134617137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DDS103589
- Practice address
- 2 Journey Ste 205
Aliso Viejo, CA 92656-3373 - Phone
- (949) 643-2222
- NPI assigned
- Apr 25, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DDS103589 | CA | Primary |
Addresses
Primary practice location
2 Journey Ste 205
Aliso Viejo, CA 92656-3373
Mailing address
20355 Shakari Cir
Yorba Linda, CA 92887-3267
Phone (714) 455-9194
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DDS103589 | CA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1134617137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20355 SHAKARI CIR",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928873267",
"telephone_number": "714-455-9194",
"fax_number": "714-455-9194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 JOURNEY STE 205",
"city": "ALISO VIEJO",
"state": "CA",
"postal_code": "926563373",
"telephone_number": "949-643-2222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "CALVIN",
"middle_name": "NGUYEN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-25",
"last_updated": "2021-09-14",
"certification_date": "2020-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "DDS103589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aliso Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.