Active NPI
Thomas Le
- Dermatology Physician
- Oceanside, CA
National Provider Identifier
1356811301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 210274
- Practice address
- 3629 Vista Way
Oceanside, CA 92056-4522 - Phone
- (760) 757-7546
- NPI assigned
- Dec 3, 2018
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 210274 | CA | Primary |
Addresses
Primary practice location
3629 Vista Way
Oceanside, CA 92056-4522
Mailing address
3629 Vista Way
Oceanside, CA 92056-4522
Phone (760) 757-7546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230731000692 | PA | Order and Referring Only - Dermatology | 6305207937 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- thomas.le@upmcdirect.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1356811301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3629 VISTA WAY",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920564522",
"telephone_number": "760-757-7546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3629 VISTA WAY",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920564522",
"telephone_number": "760-757-7546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "THOMAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-12-03",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "210274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.