Le Tam MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A117637 Issued in CA

Legal business name

LE TAM MD PC

Practice address

199 E Webster St
Colusa, CA 95932-2954

Phone

(702) 453-3799

Fax

(702) 453-5741

NPI assigned

Nov 4, 2014

Organization subpart

No

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

Authorized official

Name

Tam Canh Le, MDNPI 1336381607

Title

Owner

Phone

(775) 686-0556

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tam Canh Le, MD

  • Internal Medicine Physician
  • Garden Grove, CA
  • NPI 1336381607
  Medicare reassignment Authorized official
• Ky Ngoc Nguyen, MD

  • Family Medicine Physician
  • Westminster, CA
  • NPI 1972782829
  NPD (past)

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415059200000",
    "number": "1174928097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15521 SUNBURST LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926472942",
            "telephone_number": "702-453-3799",
            "fax_number": "702-453-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 E WEBSTER ST",
            "city": "COLUSA",
            "state": "CA",
            "postal_code": "959322954",
            "telephone_number": "702-453-3799",
            "fax_number": "702-453-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LE TAM MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "TAM",
        "authorized_official_middle_name": "CANH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-686-0556",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A117637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Lara
• Diana Lorraine Larsen, NP
• Pushpa Latta, FNP
• Lawrence M. Highman, M.D., Inc.
• Kelly Lawrence
• Arlene Lopez-Valenzuela
• Marco Lopez, RDH
• Maria Carmen Lopez
• Victor Lyapis, M.D.
• Ivet Madrigal

• Internal Medicine Physician in Colusa, CA
• Providers in Colusa, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.

Verify at the official NPI Registry.