Individual provider Active NPI

Duy-Phuong Loc Le, FNP

  • Nurse Practitioner
  • Citrus Heights, CA
National Provider Identifier
1184902900
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP20762 Issued in CA
Practice address
5406 Sunrise Blvd Ste 4
Citrus Heights, CA 95610
Phone
(800) 972-5547
Fax
(916) 887-7963
NPI assigned
Jul 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP20762 CA
Nurse Practitioner 363L00000X NP20762 CA Primary

Addresses

Primary practice location

5406 Sunrise Blvd Ste 4
Citrus Heights, CA 95610

Mailing address

PO Box 255228
Sacramento, CA 95865-5228
Phone (800) 400-0701

Other practice location 1

1125 10th St
Sacramento, CA 95814-3503
Phone (916) 558-1400

Other practice location 2

1125 10th St
Sacramento, CA 95814-3503
Phone (916) 558-1400

Other names 1

  • Phuong Loc Le Other name

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
I20191226001140 CA Practitioner - Nurse Practitioner 1951735075 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians

Practice addresses (Care Compare)

4501 X St
Sacramento, CA 95817-2229
Phone (916) 734-5900

Hospital & facility affiliations

  • University of California Davis Medical Center Hospital, Sacramento, CA, CCN 050599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP20762CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Medical Foundation CurrentSince Nov 25, 2019 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Nov 25, 2019 Accepting new patients
Regents of the Univ of Ca CurrentSince Dec 12, 2022 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Regents of the University of Ca CurrentSince Dec 12, 2022 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients

Locations

5406 Sunrise Blvd
Ste 4
Citrus Heights, CA 95610

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

2279 45th St
Sacramento, CA 95817
Phone (916) 734-5959

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

4501 X St
Fl 2
Sacramento, CA 95817
Phone (916) 734-5959

4501 X St
Sacramento, CA 95817
Phone (916) 734-5959

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1311724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1184902900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255228",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958655228",
            "telephone_number": "800-400-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5406 SUNRISE BLVD STE 4",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "95610",
            "telephone_number": "800-972-5547",
            "fax_number": "916-887-7963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1125 10th St",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958143503",
            "country_code": "US",
            "telephone_number": "916-558-1400",
            "fax_number": "916-446-2869",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1125 10th St",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958143503",
            "country_code": "US",
            "telephone_number": "916-558-1400",
            "fax_number": "916-446-2869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "DUY-PHUONG",
        "middle_name": "LOC",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-27",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP20762",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP20762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHUONG",
            "last_name": "LE",
            "middle_name": "LOC",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Citrus Heights, CA

Sources for this page

Verify at the official NPI Registry.