Individual provider Active NPI

Cuong La, MD

  • Family Medicine Physician
  • Saginaw, MI
National Provider Identifier
1609442821
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28631 Issued in NV
Practice address
2335 E Lake Mead Blvd
North Las Vegas, NV 89030-7141
Phone
(702) 840-2538
Fax
(877) 569-2671
NPI assigned
May 28, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4351047523 MI
Family Medicine Physician 207Q00000X 28631 NV Primary

Addresses

Primary practice location

2335 E Lake Mead Blvd
North Las Vegas, NV 89030-7141

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168

Other practice location 1

1575 Concentric Blvd Ste 1
Saginaw, MI 48604-9312
Phone (989) 746-7947

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cuong.la.1@29601.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240422001386 MI Practitioner - Family Practice 1052711843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Lakes Bay Health CentersGroup PAC ID 2466369046, 85 clinicians

Practice addresses (Care Compare)

1522 Janes Ave
Saginaw, MI 48601-1819
Phone (989) 755-0316

501 Lapeer Ave
Saginaw, MI 48607-1203
Phone (989) 753-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Bay Health Centers CurrentSince Apr 1, 2024 Accepting new patients
Great Lakes Bay Health Centers CurrentSince Apr 1, 2024 Accepting new patients

Locations

6297 Dixie Hwy
Bridgeport, MI 48722
Phone (989) 759-6460

501 Lapeer Ave
Saginaw, MI 48607
Phone (989) 753-6000

501 Lapeer Ave
#R
Saginaw, MI 48607
Phone (989) 753-6000

Interoperability endpoints

  • Direct secure messaging: cuong.la.1@27771.direct.athenahealth.com

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1609442821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 E LAKE MEAD BLVD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890307141",
            "telephone_number": "702-840-2538",
            "fax_number": "877-569-2671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1575 Concentric Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486049312",
            "country_code": "US",
            "telephone_number": "989-746-7947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LA",
        "first_name": "CUONG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-28",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4351047523",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "28631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cuong.la.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "2335 E Lake Mead Blvd",
            "city": "North Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890307141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.