Individual provider Active NPI

Vivian Le, RN BSN

  • General Practice Registered Nurse
  • Poway, CA
National Provider Identifier
1225509185
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
95171060 Issued in CA
Practice address
13553 Poway Creek Rd
Poway, CA 92064-7007
Phone
(858) 610-8469
NPI assigned
Dec 17, 2018
Last updated
Dec 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 95171060 CA Primary

Addresses

Primary practice location

13553 Poway Creek Rd
Poway, CA 92064-7007

Mailing address

13553 Poway Creek Rd
Poway, CA 92064-7007
Phone (858) 610-8469

Other names 1

  • Tuong-VI Vuong Le Former name

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
95171060CAMDGeneral Practice Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1225509185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13553 POWAY CREEK RD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920647007",
            "telephone_number": "858-610-8469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13553 POWAY CREEK RD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920647007",
            "telephone_number": "858-610-8469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "VIVIAN",
        "credential": "RN BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "95171060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TUONG-VI",
            "last_name": "LE",
            "middle_name": "VUONG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Poway, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.