Individual provider Active NPI

Andy Phuoc Quang Le, MD

  • Anesthesiology Physician
  • Fountain Valley, CA
National Provider Identifier
1659356368
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A78649 Issued in CA
Practice address
17100 Euclid St
Fountain Valley, CA 92708-4004
Phone
(714) 966-7200
NPI assigned
Dec 14, 2005
Last updated
Feb 4, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A786490OtherBLUE SHIELD
P00140823OtherRAILROAD MEDICARE
00A786490MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040313000496 CA Practitioner - Anesthesiology 2466341706 Reassigns benefits to 7 organizations
Practice locations: Fountain Valley, CA

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Socal Anesthesia Solutions IncGroup PAC ID 0042607426, 46 clinicians
Allied Anesthesia Medical Group IncGroup PAC ID 6103728407, 185 clinicians
Darin Rentz DO PCGroup PAC ID 7315333853, 131 clinicians
Talbert Anesthesia Group IncorporatedGroup PAC ID 6406171461, 27 clinicians

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

LicenseStateTypeSpecialty
A78649CAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Talbert Anesthesia Group Incorporated Anesthesiology CurrentSince Jan 11, 2021 Accepting new patients
Allied Anesthesia Medical Group Inc Anesthesiology CurrentSince Mar 1, 2025 Accepting new patients
Socal Anesthesia Solutions, Inc Anesthesiology CurrentSince Sep 10, 2023 Accepting new patients
Andy Le MD Inc Anesthesiology CurrentSince Aug 1, 2020 Accepting new patients
Coastal 7 Anesthesiology Professional Corporation Anesthesiology CurrentSince Jul 1, 2024 Accepting new patients
Darin Rentz DO PC Anesthesiology CurrentSince Aug 15, 2024 Accepting new patients
Riverside Anesthesia Partners Inc Anesthesiology CurrentSince Feb 15, 2025 Accepting new patients
Premiercare Anesthesia Fountain Valley Inc Anesthesiology CurrentSince Jun 1, 2013 Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Kris J Storkersen M D Inc PastSince Mar 29, 2020 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.