Oliver Le, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

A155246 Issued in CA

Practice address

7223 Church St Ste A20
Highland, CA 92346-5812

Phone

(909) 882-0702

Fax

(909) 886-6704

NPI assigned

Mar 31, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nephrology

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nephrology Associates Medical Group IncGroup PAC ID 5092604447, 64 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Mountain Vista Dialysis Center Dialysis facility, San Bernardino, CA, CCN 052743
• DaVita San Bernardino Home Training Dialysis facility, San Bernardino, CA, CCN 552776
• Fresenius Kidney Care Redlands Dialysis facility, Redlands, CA, CCN 052727
• St Bernardine Medical Center Hospital, San Bernardino, CA, CCN 050129
• Redlands Community Hospital Hospital, Redlands, CA, CCN 050272
• San Gorgonio Memorial Hospital Hospital, Banning, CA, CCN 050054
• Community Hospital of San Bernardino Hospital, San Bernardino, CA, CCN 050089

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: oliver.le.1@19859.direct.athenahealth.com

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.

• Nephrology Associates Medical Group Inc

  • Nephrology Physician
  • Riverside, CA
  • NPI 1447200126
  Medicare reassignment Care Compare group NPD
• Community Hospital of San Bernardino

  • Pediatric Skilled Nursing Facility
  • San Bernardino, CA
  • NPI 1851395685
  NPD (past)
• Dignity Health

  • General Acute Care Hospital
  • San Bernardino, CA
  • NPI 1689769911
  NPD (past)
• Nephrology Associates Medical Group, Inc.

  • Specialist
  • Riverside, CA
  • NPI 1093264145
  NPD (past)
• Pomona Valley Hospital Medical Center

  • General Acute Care Hospital
  • Pomona, CA
  • NPI 1518067586
  NPD (past)
• Redlands Community Hospital

  • General Acute Care Hospital
  • Redlands, CA
  • NPI 1043354111
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Rai Care Centers of Southern California I, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Redlands, CA
  • NPI 1003989732

  Dialysis facility

  Care Compare affiliation Name & address match
• Renal Treatment Centers California Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Bernardino, CA
  • NPI 1902869357

  Dialysis facility

  Care Compare affiliation Name & address match
• Seabay Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Bernardino, CA
  • NPI 1306267364

  Dialysis facility

  Care Compare affiliation Name & address match
• Community Hospital of San Bernardino

  • General Acute Care Hospital
  • San Bernardino, CA
  • NPI 1235290818
  Care Compare affiliation
• Dignity Health

  • General Acute Care Hospital
  • San Bernardino, CA
  • NPI 1689769911
  Care Compare affiliation
• Redlands Community Hospital

  • General Acute Care Hospital
  • Redlands, CA
  • NPI 1043354111
  Care Compare affiliation
• San Gorgonio Memorial Hospital

  • General Acute Care Hospital
  • Banning, CA
  • NPI 1568469997
  Care Compare affiliation

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1457746026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 PARK SIERRA DR STE 203",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053071",
            "telephone_number": "951-687-3400",
            "fax_number": "951-687-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7223 CHURCH ST STE A20",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923465812",
            "telephone_number": "909-882-0702",
            "fax_number": "909-886-6704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 E Highland Ave Ste 551",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924043840",
            "country_code": "US",
            "telephone_number": "909-882-9150",
            "fax_number": "909-883-8972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "OLIVER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-31",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A155246",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A155246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irmina Kryszewski, P TA
• Christie Anne Laciste, NP
• Jimmy Lai
• Debra Law, B. S., M.S.
• Hiep Van Le, M.D.
• Brian Lee, PHARM.D., M.S.
• Hin Wah Lee, M.D.
• Philip W Lee, M.D.
• Sang Eun Lee, D.D.S.
• Giancarlo Lembo, MD

• Nephrology Physician in Highland, CA
• Providers in Highland, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.