Organization Active NPI

Dung Q Le MD a Professional Corporation

Doing business as Desert Eye and Laser

  • Ophthalmology Physician
  • Palm Desert, CA
National Provider Identifier
1356520241
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A79927 Issued in CA
Legal business name
DUNG Q LE MD A PROFESSIONAL CORPORATION
Doing business as
Desert Eye and Laser
Practice address
36921 Cook St
Suite 103
Palm Desert, CA 92211-6070
Phone
(760) 836-3937
Fax
(760) 836-1151
NPI assigned
Oct 29, 2007
Last updated
Apr 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Dr. Dung Q Le, MDNPI 1861594137
Title
Owner/President
Phone
(760) 836-3937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A79927 CA Primary

Addresses

Primary practice location

36921 Cook St
Suite 103
Palm Desert, CA 92211-6070

Mailing address

36921 Cook St Ste 103
Palm Desert, CA 92211-6070
Phone (760) 836-3937

Other names 1

  • Desert Eye and Laser Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071120000708 CA Part B Supplier - Clinic/Group Practice 3375631674 Receives reassigned benefits from 1 practitioner
Practice locations: Palm Desert, CA

National Provider Directory

National Provider Directory

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1356520241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36921 COOK ST STE 103",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116070",
            "telephone_number": "760-836-3937",
            "fax_number": "760-836-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36921 COOK ST",
            "address_2": "SUITE 103",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116070",
            "telephone_number": "760-836-3937",
            "fax_number": "760-836-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNG Q LE MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "DUNG",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "760-836-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A79927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Eye and Laser",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.