Active NPI
Hoa Tan Le, DDS
- General Practice Dentistry
- Rialto, CA
National Provider Identifier
1215095021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 49922
- Practice address
- 580 W Foothill Blvd
Rialto, CA 92376-4859 - Phone
- (909) 875-5519
- Fax
- (909) 875-5582
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 49922 | CA | Primary |
Addresses
Primary practice location
580 W Foothill Blvd
Rialto, CA 92376-4859
Mailing address
580 W Foothill Blvd
Rialto, CA 92376-4859
Phone (909) 875-5519
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G 93912-01 | Other | CA | DENTI-CAL PROVIDER |
| 49922 | Other | CA | DENTIST |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 49922 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olga M Aguinaga DDS Inc. | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Rialto, CA
- NPI 1518170786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207440000000",
"number": "1215095021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "580 W FOOTHILL BLVD",
"city": "RIALTO",
"state": "CA",
"postal_code": "923764859",
"telephone_number": "909-875-5519",
"fax_number": "909-875-5582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 W FOOTHILL BLVD",
"city": "RIALTO",
"state": "CA",
"postal_code": "923764859",
"telephone_number": "909-875-5519",
"fax_number": "909-875-5582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "HOA",
"middle_name": "TAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2008-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "49922",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTI-CAL PROVIDER",
"identifier": "G 93912-01",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTIST",
"identifier": "49922",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rialto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.