Individual provider Active NPI

Brian B Le, MD

  • Ophthalmology Physician
  • San Diego, CA
National Provider Identifier
1316969462
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A84977 Issued in CA
Practice address
11770 Bernardo Plaza CT
Ste. 315
San Diego, CA 92128-2422
Phone
(858) 487-5090
Fax
(858) 487-2906
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A84977 CA Primary

Addresses

Primary practice location

11770 Bernardo Plaza CT
Ste. 315
San Diego, CA 92128-2422

Mailing address

11770 Bernardo Plaza CT
Ste. 315
San Diego, CA 92128-2422
Phone (858) 487-5090

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
I20040310000564 CA Practitioner - Ophthalmology 2769389857 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Saint Louis University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North County Eye Physicians, IncGroup PAC ID 1355507567, 9 clinicians
North County Eye Center, Inc.Group PAC ID 0143274225, 11 clinicians

Practice addresses (Care Compare)

15706 Pomerado Rd
Suite 103
Poway, CA 92064-2032
Phone (858) 451-8600

225 E 2ND Ave
Suite 310
Escondido, CA 92025-4244

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery103

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A84977CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Diego and Orange County Lasik Institute Ophthalmology Past Accepting new patients
San Diego Lasik Institute Ophthalmology Past Accepting new patients
Scripps Health Past Accepting new patients
North County Eye Physicians, Inc Ophthalmology Past Accepting new patients
Palomar Health Past Accepting new patients

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1316969462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11770 BERNARDO PLAZA CT",
            "address_2": "STE. 315",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282422",
            "telephone_number": "858-487-5090",
            "fax_number": "858-487-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11770 BERNARDO PLAZA CT",
            "address_2": "STE. 315",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282422",
            "telephone_number": "858-487-5090",
            "fax_number": "858-487-2906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "BRIAN",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A84977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.