Ikidney Care Clinic

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

A124891 Issued in CA

Legal business name

IKIDNEY CARE CLINIC

Practice address

4440 Euclid Ave
Suite a
San Diego, CA 92115-4522

Phone

(619) 521-6812

Fax

(619) 521-6802

NPI assigned

Jul 27, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Charles N. Le, M.D.NPI 1821243759

Title

Director

Phone

(619) 521-6812

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Nguyen-Thanh Le, M.D.

  • Nephrology Physician
  • San Diego, CA
  • NPI 1821243759
  NPD (past) Authorized official

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437955200000",
    "number": "1639554041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 EUCLID AVE",
            "address_2": "SUITE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154522",
            "telephone_number": "619-521-6812",
            "fax_number": "619-521-6802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 EUCLID AVE",
            "address_2": "SUITE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154522",
            "telephone_number": "619-521-6812",
            "fax_number": "619-521-6802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IKIDNEY CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-27",
        "last_updated": "2015-07-27",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "619-521-6812",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A124891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Mikae Ikeda
• Ami Ikeda, DMD
• Maiko Ikeda, ED.S.
• Tyson Shigeru Ikeda, M.D.
• Ogechi Ikediobi, MD, PHD
• Ikidney Dialysis
• Collins Chukwuebuka Ikueze, DNP
• Sara Ilanit
• Taufaga Ilaoa-Taupau
• Morgan Ilercil

• Nephrology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.