Active NPI
Phung Le
- Physician Assistant
- Chino Valley, AZ
National Provider Identifier
1245021831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 11386
- Practice address
- 1934 N Highway 89
Chino Valley, AZ 86323-5643 - Phone
- (928) 667-1968
- NPI assigned
- May 14, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 11386 | AZ | Primary |
Addresses
Primary practice location
1934 N Highway 89
Chino Valley, AZ 86323-5643
Mailing address
PO Box 811
Paulden, AZ 86334-0811
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787356800000",
"number": "1245021831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 811",
"city": "PAULDEN",
"state": "AZ",
"postal_code": "863340811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1934 N HIGHWAY 89",
"city": "CHINO VALLEY",
"state": "AZ",
"postal_code": "863235643",
"telephone_number": "928-667-1968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "PHUNG",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-14",
"last_updated": "2026-08-22",
"certification_date": "2026-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "11386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chino Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.