Active NPI
Anh-Dao Vu Le, MD
- Dermatology Physician
- Tustin, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- A81117
- Practice address
- 13420 Newport Ave Ste G
Tustin, CA 92780-3745 - Phone
- (714) 659-6504
- Fax
- (714) 908-7596
- NPI assigned
- Mar 14, 2006
- Last updated
- Jul 14, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | A81117 | CA | Primary |
Addresses
Primary practice location
13420 Newport Ave Ste G
Tustin, CA 92780-3745
Mailing address
2190 Saltbush Cir
Corona, CA 92882-2321
Phone (714) 797-2033
Other practice location 1
495 Old Newport Blvd Ste 200
Newport Beach, CA 92663-4204
Phone (949) 646-7546
Other practice location 2
1024 E Pacific Coast Hwy
Long Beach, CA 90806-5017
Phone (909) 581-6732
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A81117 | Medicaid | CA |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Miami, LM Miller School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
13420 Newport Ave
Suite G
Tustin, CA 92780-3745
Phone (714) 731-0061
495 Old Newport Blvd
Suite 200
Newport Beach, CA 92663-4204
Phone (949) 646-7546
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 41 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1086 |
| Removal of skin cancer | 102 |
| Removal or shaving of skin growth | 54 |
| Skin biopsy | 384 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A81117 | CA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocean Skin and Vein Institute | Dermatology | Current | Accepting new patients |
| Hung V. Ong, MD., Inc. | Dermatology | Current | Accepting new patients |
| Medsense Medical, Inc. | Past | Accepting new patients |
Locations
1101 N Sepulveda Blvd
Ste 100
Manhattan Beach, CA 90266
Phone (310) 370-5670
495 Old Newport Blvd
Ste 200
Newport Beach, CA 92663
Phone (949) 646-7546
3661 Torrance Blvd
Ste 104
Torrance, CA 90503
Phone (310) 370-5670
13420 Newport Ave
Ste G
Tustin, CA 92780
Phone (714) 731-0061
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Long Beach, CA
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657756800000",
"number": "1619946779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2190 SALTBUSH CIR",
"city": "CORONA",
"state": "CA",
"postal_code": "928822321",
"telephone_number": "714-797-2033",
"fax_number": "714-908-7596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13420 NEWPORT AVE STE G",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927803745",
"telephone_number": "714-659-6504",
"fax_number": "714-908-7596"
}
],
"practiceLocations": [
{
"address_1": "495 Old Newport Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Newport Beach",
"state": "CA",
"postal_code": "926634204",
"country_code": "US",
"telephone_number": "949-646-7546",
"fax_number": "949-646-7556",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1024 E Pacific Coast Hwy",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908065017",
"country_code": "US",
"telephone_number": "909-581-6732",
"fax_number": "909-581-6737",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LE",
"first_name": "ANH-DAO",
"middle_name": "VU",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-14",
"last_updated": "2022-07-14",
"certification_date": "2020-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "A81117",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A81117",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.