Active NPI
Minh Van Le, AGACNP-BC
- Acute Care Nurse Practitioner
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 95021575
- Practice address
- 1100 W Town and Country Rd Ste 1300
Orange, CA 92868-4654 - Phone
- (855) 434-7763
- NPI assigned
- Jul 7, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 95021575 | CA | Primary |
Addresses
Primary practice location
1100 W Town and Country Rd Ste 1300
Orange, CA 92868-4654
Mailing address
16193 Hemp Cir
Fountain Valley, CA 92708-1514
Phone (714) 376-6290
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17100 Euclid St
Fountain Valley, CA 92708-4004
Phone (714) 966-7200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California PHS PC | Current | Accepting new patients | |
| J M Geiss DO Apc | Current | Accepting new patients | |
| Alpha Hospitalist Group Inc | Current | Accepting new patients |
Locations
17150 Euclid St
Ste 200
Fountain Vly, CA 92708
Phone (714) 751-0995
17100 Euclid St
Fountain Vly, CA 92708
Phone (714) 966-7200
520 Superior Ave
Ste 255
Newport Beach, CA 92663
Phone (949) 720-9266
2592 N Santiago Blvd
Orange, CA 92867
Phone (714) 577-2271
5 Hutton Centre Dr
Ste 950
Santa Ana, CA 92707
Phone (855) 434-7663
28650 Newhall Ranch Rd
Santa Clarita, CA 91355
Phone (661) 347-0051
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- https://api.platform.athenahealth.com/19831/brand/2/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Hospitalist Physician
- Fountain Valley, CA
- NPI 1982086914
-
- Family Medicine Physician
- Santa Ana, CA
- NPI 1649932781
-
- Family Medicine Physician
- Santa Ana, CA
- NPI 1063825289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665360000000",
"number": "1306579172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16193 HEMP CIR",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927081514",
"telephone_number": "714-376-6290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 W TOWN AND COUNTRY RD STE 1300",
"city": "ORANGE",
"state": "CA",
"postal_code": "928684654",
"telephone_number": "855-434-7763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "MINH",
"middle_name": "VAN",
"credential": "AGACNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-07",
"last_updated": "2022-10-10",
"certification_date": "2022-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CA",
"license": "95021575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.