Individual provider Active NPI

Krystal Le, PA-C

  • Physician Assistant
  • Garden Grove, CA
National Provider Identifier
1154280527
Registry record updated Aug 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
67711 Issued in CA
Practice address
9972 Westminster Ave Ste 108
Garden Grove, CA 92844-5142
Phone
(714) 531-0000
NPI assigned
Jan 20, 2026
Last updated
Aug 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 67711 CA Primary

Addresses

Primary practice location

9972 Westminster Ave Ste 108
Garden Grove, CA 92844-5142

Mailing address

9972 Westminster Ave Ste 108
Garden Grove, CA 92844-5142

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260324001838 CA Practitioner - Physician Assistant 9133603582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dean Ba Ngo MD IncGroup PAC ID 5991895799, 3 clinicians

Practice addresses (Care Compare)

9972 Westminster Ave
Suite 108
Garden Grove, CA 92844-5142
Phone (714) 531-0000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
67711CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dean Ba Ngo MD Inc CurrentSince Feb 18, 2026 Accepting new patients

Locations

9972 Westminster Ave
Ste 108
Garden Grove, CA 92844
Phone (714) 531-0000

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1768867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786838400000",
    "number": "1154280527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9972 WESTMINSTER AVE STE 108",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928445142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9972 WESTMINSTER AVE STE 108",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928445142",
            "telephone_number": "714-531-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "KRYSTAL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-20",
        "last_updated": "2026-08-16",
        "certification_date": "2026-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "67711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

Verify at the official NPI Registry.