Stephanie Phan Le, D.O. Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A12311 Issued in CA

Legal business name

STEPHANIE PHAN LE, D.O. INC.

Practice address

1693 Flanigan Dr Ste 100
San Jose, CA 95121-1683

Phone

(408) 274-3881

Fax

(408) 274-9053

NPI assigned

Jun 26, 2013

Organization subpart

No

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

Authorized official

Name

Stephanie Phan Le, D.ONPI 1407190093

Title

President

Phone

(408) 274-3881

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

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

• Stephanie Phan Le, D.O.

  • Family Medicine Physician
  • San Jose, CA
  • NPI 1407190093
  Medicare reassignment NPD Authorized official
• Julia Hanh Dinh, PA

  • Physician Assistant
  • Mountain View, CA
  • NPI 1558970467
  Medicare reassignment
• Jodie Melina Lu

  • Physician Assistant
  • San Jose, CA
  • NPI 1942921424
  Medicare reassignment

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1649610312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1693 FLANIGAN DR STE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211683",
            "telephone_number": "408-274-3881",
            "fax_number": "408-274-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1693 FLANIGAN DR STE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211683",
            "telephone_number": "408-274-3881",
            "fax_number": "408-274-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE PHAN LE, D.O. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-26",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "PHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-274-3881",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A12311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stemmle,Stemmle, Rose and Ahmed
• Savonna Stender-Bondesson, ASW
• Mi-Yung Yoon Stenfort, M.D.
• George Alexander Stepanoff Jr., MFT
• Stephanie B Loller DDS PC
• Stephen Beveridge DDS Inc
• Alicia Stephen, RDT
• Dejaenique Stephens
• Gwen Stephens, MA
• Julie Elizabeth Stephens, M.S., MFT-INTERN

• Family Medicine Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.