Amy D Le, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95017765 Issued in CA

Practice address

310 Commerce Ste 200
Irvine, CA 92602-1362

Phone

(714) 251-7128

Fax

(714) 734-2780

NPI assigned

Oct 29, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Un of California, Riverside, School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Care First Mobile Medical Group IncGroup PAC ID 9335597772, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Care First Mobile Medical Group Inc

  • Primary Care Nurse Practitioner
  • San Diego, CA
  • NPI 1538871678
  Medicare reassignment Care Compare group NPD
• RMS Cherubim Health Care Services Inc

  • Family Medicine Physician
  • Fontana, CA
  • NPI 1619374741
  Medicare reassignment NPD
• Wound Savers of California Inc

  • Family Medicine Physician
  • Anaheim, CA
  • NPI 1689413650
  NPD
• Vitas Healthcare Corporation of California

  • Community Based Hospice Care Agency
  • Irvine, CA
  • NPI 1295878304
  NPD (past)

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1598429045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 W CHEVY CHASE DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012149",
            "telephone_number": "714-251-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 COMMERCE STE 200",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926021362",
            "telephone_number": "714-251-7128",
            "fax_number": "714-734-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "AMY",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-29",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95017765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Cellphone",
            "affiliation": "N",
            "address_1": "310 Commerce Ste 200",
            "city": "Irvine",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926021362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Miri Lazarescu Rosen
• Stephanie Lazaro Fuentes
• Bich-Lien Gigi Le-Ta, PHARM.D
• Alene Thao Le, D.D.S., M.S.
• Amanda Le
• Brandon Andrew Le
• Carolyn Le, PA-C
• Catherine Le
• Christian Le
• Cindy Le

• Family Nurse Practitioner in Irvine, CA
• Providers in Irvine, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.