Individual provider Active NPI

Jimmy-Hieu Nguyen Le, NP

  • Family Nurse Practitioner
  • Anaheim, CA
National Provider Identifier
1407501398
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95015218 Issued in CA
Practice address
1900 S State College Blvd Ste 100
Anaheim, CA 92806-6136
Phone
(800) 270-5016
Fax
(800) 680-3626
NPI assigned
Feb 18, 2022
Last updated
Sep 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP95015218 CA Primary

Addresses

Primary practice location

1900 S State College Blvd Ste 100
Anaheim, CA 92806-6136

Mailing address

9246 Lightwave Ave Ste 120
San Diego, CA 92123-6411
Phone (800) 270-5016

Other names 1

  • Jimmy Le Other name

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
I20220328001619 CA Practitioner - Nurse Practitioner 9931594090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orca Rehab IncGroup PAC ID 6901281484, 16 clinicians

Practice addresses (Care Compare)

101 E Valencia Mesa Dr
Fullerton, CA 92835-3809
Phone (714) 871-3280

13522 Newport Ave
Suite 102
Tustin, CA 92780-3707
Phone (714) 987-1121

Merit-based Incentive Payment System (MIPS)

Final score
17.6 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
58.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95015218CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orca Rehab Inc CurrentSince Feb 5, 2024 Accepting new patients
Amirpasha Ehsan MD, Inc PastSince Jul 13, 2025 Accepting new patients
Chest and Critical Care Consultants PastSince Jul 13, 2025 Accepting new patients

Locations

101 E Valencia Mesa Dr
Fullerton, CA 92835
Phone (714) 446-7505

1010 W La Veta Ave
Ste 360
Orange, CA 92868
Phone (510) 465-8986

4070 Jurupa Ave
Riverside, CA 92506
Phone (301) 308-8995

Organizations & group practices 3

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": "1645142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1407501398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9246 LIGHTWAVE AVE STE 120",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921236411",
            "telephone_number": "800-270-5016",
            "fax_number": "800-680-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S STATE COLLEGE BLVD STE 100",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928066136",
            "telephone_number": "800-270-5016",
            "fax_number": "800-680-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "JIMMY-HIEU",
        "middle_name": "NGUYEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-18",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95015218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JIMMY",
            "last_name": "LE",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.