Individual provider Active NPI

Nhi Nguyen Pham Le, NP

  • Nurse Practitioner
  • Rosemead, CA
National Provider Identifier
1306463625
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95014784 Issued in CA
Practice address
4433 Delta Ave
Rosemead, CA 91770-1103
Phone
(323) 977-0380
NPI assigned
Jul 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95014784 CA Primary

Addresses

Primary practice location

4433 Delta Ave
Rosemead, CA 91770-1103

Mailing address

4433 Delta Ave
Rosemead, CA 91770-1103
Phone (323) 977-0380

Other identifiers 1

IdentifierTypeStateIssuer
Y8257714OtherCADRIVER LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL mangaloveanime@yahoo.com

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95014784CAMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1306463625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4433 DELTA AVE",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917701103",
            "telephone_number": "323-977-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4433 DELTA AVE",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917701103",
            "telephone_number": "323-977-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "NHI NGUYEN",
        "middle_name": "PHAM",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-02",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95014784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "Y8257714",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mangaloveanime@yahoo.com",
            "affiliation": "N",
            "address_1": "4433 Delta Ave",
            "city": "Rosemead",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917701103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rosemead, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; 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.