Individual provider Active NPI

Vinh John Xuan Le, MD

  • Family Medicine Physician
  • Banning, CA
National Provider Identifier
1255828802
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A173398 Issued in CA
Practice address
5957 W Ramsey St
Banning, CA 92220-3058
Phone
(951) 845-0313
NPI assigned
Apr 19, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 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 Medicine Physician 207Q00000X A173398 CA Primary

Addresses

Primary practice location

5957 W Ramsey St
Banning, CA 92220-3058

Mailing address

PO Box 10069
San Bernardino, CA 92423-0069
Phone (909) 335-4188

Other practice location 1

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 340-8248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210802001592 CA Practitioner - Family Practice 6204230048 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Alliance Medical Group IncGroup PAC ID 0446699896, 13 clinicians

Practice addresses (Care Compare)

845 Highland Springs Ave
Suite 102
Beaumont, CA 92223-5789
Phone (909) 850-4211

Hospital & facility affiliations

  • Lorian Health Home health agency, Riverside, CA, CCN 059464
  • Angelicare Home Health Inc Home health agency, Chino, CA, CCN 059316
  • San Gorgonio Memorial Hospital Hospital, Banning, CA, CCN 050054
  • Loma Linda University Medical Center Hospital, Loma Linda, CA, CCN 050327
  • Redlands Community Hospital Hospital, Redlands, CA, CCN 050272

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A173398CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beaver Medical Group P C Family Medicine CurrentSince Jul 20, 2021 Accepting new patients
Beaver Medical Group P C CurrentSince Jul 20, 2021 Accepting new patients
Community Alliance Medical Group Inc Family Medicine CurrentSince Oct 21, 2024 Accepting new patients
Cardiology Specialists Medical Group, Inc. PastSince Oct 21, 2024 Accepting new patients

Locations

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

845 Highland Springs Ave
Ste 102
Beaumont, CA 92223

845 Highland Springs Ave
Beaumont, CA 92223

835 Highland Springs Ave
Ste 300
Beaumont, CA 92223
Phone (909) 233-7823

2 W Fern Ave
#1112
Redlands, CA 92373

1901 W Lugonia Ave
Ste 340
Redlands, CA 92374

2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137

213 E Olive Ave
Redlands, CA 92373
Phone (951) 315-8262

1177 Idaho St
Ste 102
Redlands, CA 92374

34675 Yucaipa Blvd
Ste 102
Yucaipa, CA 92399
Phone (909) 790-4795

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJCEDD

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1255828802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10069",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924230069",
            "telephone_number": "909-335-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5957 W RAMSEY ST",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922203058",
            "telephone_number": "951-845-0313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39000 Bob Hope Dr",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922703221",
            "country_code": "US",
            "telephone_number": "760-340-8248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "VINH",
        "middle_name": "JOHN XUAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-19",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A173398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Banning, CA

Sources for this page

Verify at the official NPI Registry.