Active NPI
Andy Phuoc Quang Le, MD
- Anesthesiology Physician
- Fountain Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A78649
- Practice address
- 17100 Euclid St
Fountain Valley, CA 92708-4004 - Phone
- (714) 966-7200
- NPI assigned
- Dec 14, 2005
- Last updated
- Feb 4, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A78649 | CA | Primary |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | A78649 | CA |
Addresses
Primary practice location
17100 Euclid St
Fountain Valley, CA 92708-4004
Mailing address
210 N Tustin Ave
Santa Ana, CA 92705-3807
Phone (714) 734-7101
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A786490 | Other | BLUE SHIELD | |
| P00140823 | Other | RAILROAD MEDICARE | |
| 00A786490 | 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
- Anesthesiology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18111 Brookburst St
Fountain Valley, CA 92708-6728
Phone (714) 378-7000
18111 Brookhurst St
Suite 3200
Fountain Valley, CA 92708-6728
Phone (714) 619-5391
4445 Magnolia Ave
Riverside, CA 92501-4135
Phone (951) 788-3000
600 N Highland Springs Ave
Banning, CA 92220-3046
Phone (951) 845-1121
7677 Ctr Ave
Suite 104
Huntington Beach, CA 92647-3030
Phone (714) 881-8700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A78649 | CA | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Talbert Anesthesia Group Incorporated | Anesthesiology | Current | Accepting new patients |
| Allied Anesthesia Medical Group Inc | Anesthesiology | Current | Accepting new patients |
| Socal Anesthesia Solutions, Inc | Anesthesiology | Current | Accepting new patients |
| Andy Le MD Inc | Anesthesiology | Current | Accepting new patients |
| Coastal 7 Anesthesiology Professional Corporation | Anesthesiology | Current | Accepting new patients |
| Darin Rentz DO PC | Anesthesiology | Current | Accepting new patients |
| Riverside Anesthesia Partners Inc | Anesthesiology | Current | Accepting new patients |
| Premiercare Anesthesia Fountain Valley Inc | Anesthesiology | Current | Accepting new patients |
| Orange Coast Memorial Medical Center | Past | Accepting new patients | |
| Kris J Storkersen M D Inc | Past | Accepting new patients | |
| Inland Empire Anesthesia Medical Group, Inc | Anesthesiology | Past | Accepting new patients |
| Arrowhead Anesthesia Associates | Anesthesiology | Past | Accepting new patients |
Locations
2725 16th St
Bakersfield, CA 93301
Phone (661) 401-2800
600 N Highland Springs Ave
Banning, CA 92220
Phone (833) 443-6287
1124 S Main St
Ste 101
Corona, CA 92882
Phone (951) 737-6363
11190 Warner Ave
Ste 212
Fountain Vly, CA 92708
Phone (714) 338-1650
17100 Euclid St
Fountain Vly, CA 92708
Phone (714) 966-7200
18111 Brookhurst St
Fountain Vly, CA 92708
Phone (714) 369-1100
18111 Brookhurst St
#3200
Fountain Vly, CA 92708
Phone (714) 369-1100
18111 Brookhurst St
Ste 3200
Fountain Vly, CA 92708
Phone (714) 369-1100
9920 Talbert Ave
Fountain Vly, CA 92708
Phone (714) 236-4000
160 Green Valley Rd
Ste 101
Freedom, CA 95019
Phone (831) 636-4915
7677 Center Ave
Ste 104
Huntington Beach, CA 92647
Phone (714) 881-8700
1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555
1421 Oakdale Rd
Modesto, CA 95355
Phone (209) 572-0151
455 S Main St
Orange, CA 92868
Phone (714) 289-4511
255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127
2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700
350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500
4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156
7160 Brockton Ave
Riverside, CA 92506
Phone (951) 782-3714
21634 Retreat Pkwy
Temescal Valley, CA 92883
Phone (951) 782-5157
999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841
Interoperability endpoints
- aphuocle631798@direct.memorialcare.org
Organizations & group practices 12
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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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202083200000",
"number": "1659356368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 N TUSTIN AVE",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053807",
"telephone_number": "714-734-7101",
"fax_number": "714-647-1245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17100 EUCLID ST",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927084004",
"telephone_number": "714-966-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "ANDY",
"middle_name": "PHUOC QUANG",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-14",
"last_updated": "2008-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A78649",
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "CA",
"license": "A78649",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00A786490",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00140823",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A786490",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.