Individual provider Active NPI

Cathy Tran Le

  • Physician Assistant
  • Laguna Hills, CA
National Provider Identifier
1346872231
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
58483 Issued in CA
Practice address
23181 Verdugo Dr Ste 103a
Laguna Hills, CA 92653-1313
Phone
(310) 619-0165
NPI assigned
Feb 7, 2020
Last updated
Apr 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 58483 CA Primary

Addresses

Primary practice location

23181 Verdugo Dr Ste 103a
Laguna Hills, CA 92653-1313

Mailing address

23181 Verdugo Dr Ste 103a
Laguna Hills, CA 92653-1313
Phone (310) 619-0165

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210126001870 CA Practitioner - Physician Assistant 7719391101 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
58483CAMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: cathy.thomas.1@33925.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1346872231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23181 VERDUGO DR STE 103A",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531313",
            "telephone_number": "310-619-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23181 VERDUGO DR STE 103A",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531313",
            "telephone_number": "310-619-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "CATHY",
        "middle_name": "TRAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-07",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "58483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.