Active NPI
Andrew James Le, MD
- Adult Medicine Physician
- Newport Beach, CA
National Provider Identifier
1205465135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- A186664
- Practice address
- 510 Superior Ave Ste 200B200D
Newport Beach, CA 92663-3663 - Phone
- (949) 791-3001
- Fax
- (949) 791-3096
- NPI assigned
- Apr 2, 2020
- Last updated
- Oct 15, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Adult Medicine Physician | 207QA0505X | A186664 | CA | Primary |
Addresses
Primary practice location
510 Superior Ave Ste 200B200D
Newport Beach, CA 92663-3663
Mailing address
14350 Meridian Pkwy # 2
Riverside, CA 92518-3035
Phone (951) 827-7669
Other practice location 1
14350 Meridian Pkwy # 2
Riverside, CA 92518-3035
Phone (951) 827-7669
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.51 of 100
- Quality
- 84.12
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.24
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A186664 | CA | MD | Adult Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1205465135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14350 MERIDIAN PKWY # 2",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925183035",
"telephone_number": "951-827-7669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 SUPERIOR AVE STE 200B200D",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926633663",
"telephone_number": "949-791-3001",
"fax_number": "949-791-3096"
}
],
"practiceLocations": [
{
"address_1": "14350 Meridian Pkwy # 2",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925183035",
"country_code": "US",
"telephone_number": "951-827-7669",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LE",
"first_name": "ANDREW",
"middle_name": "JAMES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-02",
"last_updated": "2024-10-15",
"certification_date": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "CA",
"license": "A186664",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "441 N Lakeview Ave",
"city": "Anaheim",
"state": "CA",
"country_code": "US",
"postal_code": "928073028",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.