Individual provider Active NPI

Julie Phuong Le

  • Family Nurse Practitioner
  • Fountain Valley, CA
National Provider Identifier
1235745563
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95015114 Issued in CA
Practice address
17271 Brookhurst St
Fountain Valley, CA 92708-3701
Phone
(714) 531-2966
NPI assigned
Sep 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95015114 CA Primary

Addresses

Primary practice location

17271 Brookhurst St
Fountain Valley, CA 92708-3701

Mailing address

17271 Brookhurst St
Fountain Valley, CA 92708-3701
Phone (714) 531-2966

Other practice location 1

395 Silver Spur Rd
Rolling Hills Estates, CA 90274-3569
Phone (424) 323-3500

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.carepartners.us/ Health Information Exchange (HIE)

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
95015114CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Care Direct Medical Group Inc PastSince Sep 1, 2020 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.

NPI Registry JSON

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1235745563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17271 BROOKHURST ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083701",
            "telephone_number": "714-531-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17271 BROOKHURST ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083701",
            "telephone_number": "714-531-2966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "395 Silver Spur Rd",
            "address_purpose": "LOCATION",
            "city": "Rolling Hills Estates",
            "state": "CA",
            "postal_code": "902743569",
            "country_code": "US",
            "telephone_number": "424-323-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "JULIE",
        "middle_name": "PHUONG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95015114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.carepartners.us/",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "150 Paularino Ave",
            "city": "Costa Mesa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926263301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.