Individual provider Active NPI

Tim Tien Le, D.O.

  • Family Medicine Physician
  • Santa Ana, CA
National Provider Identifier
1366480188
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A5595 Issued in CA
Practice address
800 N Main St Ste 300
Santa Ana, CA 92701-3576
Phone
(714) 456-8888
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 38

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.

View all 38

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sac Health System 222 clinicians

Practice addresses (Care Compare)

1454 E 2ND St
San Bernardino, CA 92408-0118
Phone (909) 382-7100

250 S G St
San Bernardino, CA 92410-3320
Phone (909) 382-7100

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
I20061027000292 CA Practitioner - Family Practice 1355348772 Reassigns benefits to 11 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A5595CAMDFamily Medicine Physician
5595CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Physicians and Surgeons of Llusm Family Medicine CurrentSince Apr 1, 2026 Accepting new patients
Riverside Medical Clinic, Inc Family Medicine CurrentSince Mar 1, 2016 Accepting new patients
University of California Irvine CurrentSince Apr 1, 2025 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Chino Medical Group, Inc Family Medicine CurrentSince Jan 1, 2006 Accepting new patients
University of California Irvine Current Accepting new patients
Riverside Medical Clinic, Inc Current Accepting new patients
Riverside Medical Clinic, Inc Family Medicine CurrentSince Mar 1, 2016 Accepting new patients
Southern California Permanente Medical Group CurrentSince Sep 26, 2010 Accepting new patients
University of California Irvine CurrentSince Apr 1, 2025 Accepting new patients
Healthcare Partners Affiliates Medical Group Family Medicine CurrentSince Jan 1, 2015 Accepting new patients
Lakeside Medical Organization, a Medical Group Inc. Family Medicine CurrentSince Nov 17, 2018 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jan 1, 2015 Accepting new patients
Southern California Permanente Medical Group CurrentSince Sep 26, 2010 Accepting new patients
Community Health Systems, Inc. Family Medicine CurrentSince Dec 4, 2017 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Apr 1, 2026 Accepting new patients
East Valley Community Health Center, Inc. CurrentSince Jul 1, 2016 Accepting new patients
Asian Pacific Health Care Venture, Inc. CurrentSince Jan 7, 2026 Accepting new patients
East Valley Community Health Center, Inc. CurrentSince Jul 1, 2016 Accepting new patients
University of California Irvine Past Accepting new patients
Memorial Medical Group Inc Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5475 E La Palma Ave
Anaheim, CA 92807
Phone (714) 279-6088

191 S Buena Vista St
Ste 200
Burbank, CA 91505
Phone (818) 887-2671

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

5475 Walnut Ave
Chino, CA 91710
Phone (909) 591-6446

9960 Baldwin Pl
El Monte, CA 91731
Phone (626) 774-2988

9930 Talbert Ave
Fountain Vly, CA 92708
Phone (714) 964-6229

4216 Fountain Ave
Los Angeles, CA 90029
Phone (323) 644-3880

21801 Alessandro Blvd
Moreno Valley, CA 92553
Phone (951) 571-2300

22675 Alessandro Blvd
Moreno Valley, CA 92553
Phone (951) 571-2300

8510 Balboa Blvd
Ste 150
Northridge, CA 91325
Phone (818) 637-2000

1555 S Garey Ave
Pomona, CA 91766
Phone (909) 620-8088

6405 Day St
Riverside, CA 92507
Phone (909) 683-6370

10800 Magnolia Ave
Riverside, CA 92505
Phone (951) 353-2000

3660 Arlington Ave
Riverside, CA 92506
Phone (951) 782-3789

800 N Main St
Santa Ana, CA 92701
Phone (714) 456-6324

3501 S Harbor Blvd
Santa Ana, CA 92704
Phone (714) 784-1658

800 N Main St
Ste 300
Santa Ana, CA 92701

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

1500 W West Covina Pkwy
West Covina, CA 91790
Phone (626) 430-9991

1500 W West Covina Pkwy
Ste 102
West Covina, CA 91790
Phone (818) 295-5920

420 S Glendora Ave
West Covina, CA 91790
Phone (626) 919-5724

Interoperability endpoints

  • Direct secure messaging: tim.le.p1@direct.lakeside.nextgenshare.com
  • Direct secure messaging: tim.le.p1@direct.chsica.nextgenshare.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A5595 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

800 N Main St Ste 300
Santa Ana, CA 92701-3576

Mailing address

420 S Glendora Ave
West Covina, CA 91790-3001
Phone (909) 620-8088

Other practice location 1

420 S Glendora Ave
West Covina, CA 91790-3001
Phone (909) 620-8088

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
APPROVEDOtherCAMEDI-CAL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 11, 2025.

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1366480188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 S GLENDORA AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903001",
            "telephone_number": "909-620-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N MAIN ST STE 300",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927013576",
            "telephone_number": "714-456-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 S Glendora Ave",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917903001",
            "country_code": "US",
            "telephone_number": "909-620-8088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "TIM",
        "middle_name": "TIEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A5595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "APPROVED",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.