Individual provider Active NPI

Vinh Bao Le, DDS

  • General Practice Dentistry
  • Vista, CA
National Provider Identifier
1194803759
Registry record updated Jun 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
51351 Issued in CA
Practice address
1234 N Santa Fe Ave
Suite 114
Vista, CA 92083-3206
Phone
(760) 732-5878
Fax
(760) 732-5939
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 51351 CA Primary

Addresses

Primary practice location

1234 N Santa Fe Ave
Suite 114
Vista, CA 92083-3206

Mailing address

1234 N Santa Fe Ave Ste 114
Vista, CA 92083-3209
Phone (760) 732-5878

Other practice location 1

3643 Grand Ave Ste A
San Marcos, CA 92078-2336
Phone (760) 536-3648

Other practice location 2

44605 Avenida De Missiones Ste 101
Temecula, CA 92592-5001
Phone (951) 303-6681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
51351CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Le & Le Dental Corporation General Practice PastSince Apr 17, 2022 Accepting new patients
Le & Le Dental Corporation General Practice Past Accepting new patients
Le & Le Dental Corporation General Practice PastSince Jun 23, 2024 Accepting new patients

Organizations & group practices 3

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719014400000",
    "number": "1194803759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 N SANTA FE AVE STE 114",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920833209",
            "telephone_number": "760-732-5878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 N SANTA FE AVE",
            "address_2": "SUITE 114",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920833206",
            "telephone_number": "760-732-5878",
            "fax_number": "760-732-5939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3643 Grand Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "CA",
            "postal_code": "920782336",
            "country_code": "US",
            "telephone_number": "760-536-3648",
            "fax_number": "760-734-5762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44605 Avenida De Missiones Ste 101",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925925001",
            "country_code": "US",
            "telephone_number": "951-303-6681",
            "fax_number": "591-303-6693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "VINH",
        "middle_name": "BAO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-06-22",
        "certification_date": "2024-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.