Active NPI
Pulmonary Care & Sleep Associates
- Pulmonary Disease Physician
- Fountain Valley, CA
National Provider Identifier
1477583656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- A67079
- Legal business name
- PULMONARY CARE & SLEEP ASSOCIATES
- Practice address
- 11190 Warner Ave
Suite 403
Fountain Valley, CA 92708-4019 - Phone
- (714) 964-9060
- Fax
- (714) 964-9062
- NPI assigned
- Jul 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hoang T. Le, M.D.
- Title
- President
- Phone
- (714) 964-9060
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | A67079 | CA | Primary |
Addresses
Primary practice location
11190 Warner Ave
Suite 403
Fountain Valley, CA 92708-4019
Mailing address
PO Box 51658
Irvine, CA 92619-1658
Phone (714) 964-9060
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A670791 | Other | CA | BLUE SHIELD GRP # |
| 00A670790 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041209001107 | CA | Part B Supplier - Clinic/Group Practice | 7214994318 |
Receives reassigned benefits from 1 practitioner Practice locations: Fountain Valley, CA |
National Provider Directory
National Provider DirectoryLocations
10221 Slater Ave
Ste 102
Fountain Vly, CA 92708
Phone (714) 964-9060
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Fountain Valley, CA
- NPI 1104886241
CA, Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453075200000",
"number": "1477583656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 51658",
"city": "IRVINE",
"state": "CA",
"postal_code": "926191658",
"telephone_number": "714-964-9060",
"fax_number": "714-964-9062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11190 WARNER AVE",
"address_2": "SUITE 403",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927084019",
"telephone_number": "714-964-9060",
"fax_number": "714-964-9062"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PULMONARY CARE & SLEEP ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-04",
"last_updated": "2016-01-18",
"status": "A",
"authorized_official_last_name": "LE",
"authorized_official_first_name": "HOANG",
"authorized_official_middle_name": "T.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-964-9060",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "A67079",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD GRP #",
"identifier": "00A670791",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A670790",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.