Active NPI
Calvin Le
- Physical Therapist
- Gardena, CA
National Provider Identifier
1538767470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT298602
- Practice address
- 16630 S Broadway
Gardena, CA 90248-2716 - Phone
- (310) 768-8155
- NPI assigned
- Oct 13, 2020
- Last updated
- Oct 13, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT298602 | CA | Primary |
Addresses
Primary practice location
16630 S Broadway
Gardena, CA 90248-2716
Mailing address
1456 W 170TH St
Gardena, CA 90247-5412
Phone (760) 477-3516
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT298602 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602547200000",
"number": "1538767470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1456 W 170TH ST",
"city": "GARDENA",
"state": "CA",
"postal_code": "902475412",
"telephone_number": "760-477-3516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16630 S BROADWAY",
"city": "GARDENA",
"state": "CA",
"postal_code": "902482716",
"telephone_number": "310-768-8155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "CALVIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-13",
"last_updated": "2020-10-13",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT298602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.