Active NPI
Maisa Le, FNP-BC
- Family Nurse Practitioner
- Westminster, CA
National Provider Identifier
1467563759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 15976
- Practice address
- 14372 Beach Blvd
Westminster, CA 92683-4578 - Phone
- (714) 922-4100
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 15976 | CA | Primary |
| Family Nurse Practitioner | 363LF0000X | 342743 | NY | |
| Registered Nurse | 163W00000X | 579168 | CA |
Addresses
Primary practice location
14372 Beach Blvd
Westminster, CA 92683-4578
Mailing address
14372 Beach Blvd
Westminster, CA 92683-4578
Phone (714) 922-4100
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 745506 | Other | NY | REGISTERED NURSE LICENSE |
| 342743 | Other | NY | NURSE PRACTITIONER LICENSE |
| 15976 | Other | CA | FAMILY NURSE PRACTITIONER |
| 579168 | Other | CA | REGISTERED NURSE |
| 63584 | Other | CA | PUBLIC HEALTH NURSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 579168 | CA | MD | Registered Nurse |
| 342743 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Planned Parenthood/Orange and San Bernardino Counties, Inc. | Past | Accepting new patients | |
| Planned Parenthood of the Southern Finger Lakes Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinic/Center
- Anaheim, CA
- NPI 1710975727
-
- Ambulatory Family Planning Facility
- Ithaca, NY
- NPI 1881761484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634601600000",
"number": "1467563759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14372 BEACH BLVD",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926834578",
"telephone_number": "714-922-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14372 BEACH BLVD",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926834578",
"telephone_number": "714-922-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "MAISA",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2021-10-19",
"certification_date": "2021-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "15976",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "342743",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "579168",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE LICENSE",
"identifier": "745506",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTITIONER LICENSE",
"identifier": "342743",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FAMILY NURSE PRACTITIONER",
"identifier": "15976",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE",
"identifier": "579168",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PUBLIC HEALTH NURSE",
"identifier": "63584",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westminster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.