Individual provider Active NPI

Ha T Le, PA-C

  • Medical Physician Assistant
  • Pahrump, NV
National Provider Identifier
1144491143
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA1107 Issued in NV
Practice address
1501 E Calvada Blvd
Pahrump, NV 89048-5807
Phone
(775) 727-5509
Fax
(775) 727-5696
NPI assigned
Mar 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA1107 NV Primary

Addresses

Primary practice location

1501 E Calvada Blvd
Pahrump, NV 89048-5807

Mailing address

PO Box 98978
Las Vegas, NV 89193-8978
Phone (702) 507-2419

Other identifiers 2

IdentifierTypeStateIssuer
P00872897OtherNVRAILROAD MEDICARE
1144491143MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080409000726 NV Practitioner - Physician Assistant 5597842906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ferdowsian, Global Services PLLCGroup PAC ID 1658425210, 7 clinicians

Practice addresses (Care Compare)

3175 Saint Rose Pkwy
Suite 121
Henderson, NV 89052-3506

3175 Saint Rose Pkwy
Suite 121
Henderson, NV 89052-3507
Phone (702) 802-5100

3551 E Bonanza Rd
Las Vegas, NV 89110-2198

6525 N Buffalo Dr
Suite 130
Las Vegas, NV 89131-4041
Phone (702) 851-0911

8530 W Sunset Rd
Suite 110
Las Vegas, NV 89113-2244
Phone (702) 754-1900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Copeland - Beajow Medical Institute, CHTD Past Accepting new patients
Internal Medicine Associates Laboratory Past Accepting new patients
Intermountain Medical Holdings Nevada Inc Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1144491143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98978",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891938978",
            "telephone_number": "702-507-2419",
            "fax_number": "702-671-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E CALVADA BLVD",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890485807",
            "telephone_number": "775-727-5509",
            "fax_number": "775-727-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "HA",
        "middle_name": "T",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-18",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA1107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00872897",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144491143",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pahrump, NV

Sources for this page

Verify at the official NPI Registry.