Individual provider Active NPI

Grey Le, M.D.

  • Family Medicine Physician
  • Anaheim, CA
National Provider Identifier
1255863338
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A158282 Issued in CA
Practice address
947 S Anaheim Blvd Ste 125
Anaheim, CA 92805-5584
Phone
(714) 776-3180
NPI assigned
Mar 29, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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 A158282 CA Primary

Addresses

Primary practice location

947 S Anaheim Blvd Ste 125
Anaheim, CA 92805-5584

Mailing address

947 S Anaheim Blvd Ste 125
Anaheim, CA 92805-5584
Phone (714) 776-3180

Other practice location 1

800 N Main St
Santa Ana, CA 92701-3576
Phone (657) 282-6355

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address greyle@sjhhandhmg.allscriptsdirect.net

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
I20200820003624 CA Practitioner - Family Practice 8820321896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in New Orleans, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

134000 Jamboree Rd
Irvine, CA 92602-2308
Phone (714) 263-9279

1950 Sunny Crest Dr
Suite 2900
Fullerton, CA 92835-3641
Phone (714) 992-5350

2212 E 4TH St
Santa Ana, CA 92705-3870
Phone (714) 633-1011

2501 E Chapman Ave
Orange, CA 92869-3204
Phone (714) 633-7175

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A158282CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation Current Accepting new patients
Providence Medical Foundation Family Medicine CurrentSince Aug 10, 2020 Accepting new patients
Providence Medical Foundation Family Medicine CurrentSince Aug 10, 2020 Accepting new patients
Providence Medical Foundation Family Medicine Past Accepting new patients
Queen of the Valley Medical Association Past Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients

Locations

200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841

947 S Anaheim Blvd
Ste 125
Anaheim, CA 92805
Phone (714) 241-7000

1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835

100 E Valencia Mesa Dr
#1051182
Fullerton, CA 92835
Phone (714) 446-5200

100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200

2501 E Chapman Ave
Ste 201
Orange, CA 92869
Phone (714) 628-3230

2501 E Chapman Ave
Ste 203
Orange, CA 92869
Phone (714) 628-3230

2501 E Chapman Ave
Orange, CA 92869
Phone (714) 628-3300

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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 3

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": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1255863338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 S ANAHEIM BLVD STE 125",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928055584",
            "telephone_number": "714-776-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 S ANAHEIM BLVD STE 125",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928055584",
            "telephone_number": "714-776-3180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 N Main St",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927013576",
            "country_code": "US",
            "telephone_number": "657-282-6355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "GREY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-29",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A158282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "greyle@sjhhandhmg.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "2501 E Chapman Ave Ste 203",
            "city": "Orange",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928693204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.