Individual provider Active NPI

Tam M Le, M.D

  • Internal Medicine Physician
  • Rosemead, CA
National Provider Identifier
1154480077
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0070591 Issued in FL
Practice address
8905 Garvey Ave
Suite A5
Rosemead, CA 91770-3368
Phone
(626) 757-1494
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0070591 FL Primary

Addresses

Primary practice location

8905 Garvey Ave
Suite A5
Rosemead, CA 91770-3368

Mailing address

5825 Lincoln Ave
Ste H
Buena Park, CA 90620-3477
Phone (714) 761-1736

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0070591FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
LC Medical & Dental Center Internal Medicine Past Accepting new patients
Oliver S. Cruz, DDS, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1154480077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 LINCOLN AVE",
            "address_2": "STE H",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906203477",
            "telephone_number": "714-761-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8905 GARVEY AVE",
            "address_2": "SUITE A5",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917703368",
            "telephone_number": "626-757-1494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "TAM",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0070591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemead, CA

Sources for this page

Verify at the official NPI Registry.