Organization Active NPI

Pulmonary Care & Sleep Associates

  • Pulmonary Disease Physician
  • Fountain Valley, CA
National Provider Identifier
1477583656
Registry record updated Jan 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A67079 Issued in CA
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

Updated by the provider on Jan 18, 2016

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.NPI 1104886241
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)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00A670791OtherCABLUE SHIELD GRP #
00A670790MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.