Active NPI
Charles N Le, MD
- Nephrology Physician
- San Diego, CA
National Provider Identifier
1144843012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- CHARLES N LE, MD
- Practice address
- 4440 Euclid Ave Ste B
San Diego, CA 92115-4522 - Phone
- (619) 521-6812
- Fax
- (619) 521-6802
- NPI assigned
- May 26, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charles Nguyen-Thanh Le, MD
- Title
- President
- Phone
- (619) 929-1605
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
4440 Euclid Ave Ste B
San Diego, CA 92115-4522
Mailing address
4440 Euclid Ave Ste B
San Diego, CA 92115-4522
Phone (619) 521-6812
Other names 1
- iKidney Care Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4440 Euclid Ave
#B
San Diego, CA 92115
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Encinitas, CA
- NPI 1053748459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590451200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652313600000",
"number": "1144843012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4440 EUCLID AVE STE B",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921154522",
"telephone_number": "619-521-6812",
"fax_number": "619-521-6802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4440 EUCLID AVE STE B",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921154522",
"telephone_number": "619-521-6812",
"fax_number": "619-521-6802"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLES N LE, MD",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-26",
"last_updated": "2022-05-12",
"certification_date": "2022-05-12",
"status": "A",
"authorized_official_last_name": "LE",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "NGUYEN-THANH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "619-929-1605",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "iKidney Care Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.