Individual provider Active NPI

Phuong-Thuy Thi Le, MD

  • Psychiatry Physician
  • San Jose, CA
National Provider Identifier
1659457315
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A044501 Issued in CA
Practice address
200 Jose Figueres Ave
Suite 250
San Jose, CA 95116-1500
Phone
(408) 259-6022
Fax
(408) 259-6013
NPI assigned
Oct 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A044501 CA Primary

Addresses

Primary practice location

200 Jose Figueres Ave
Suite 250
San Jose, CA 95116-1500

Mailing address

200 Jose Figueres Ave
Suite 250
San Jose, CA 95116-1500
Phone (408) 259-6022

Other identifiers 1

IdentifierTypeStateIssuer
9207822MedicaidCA

Other names 1

  • Phuong-Thuy Quang-Dang Former name

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
I20051118000685 CA Practitioner - Psychiatry 7911926910 Practice locations: San Jose, CA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1984
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

200 Jose Figueres Ave
Suite 250
San Jose, CA 95116-1555
Phone (408) 259-6022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A044501CAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395878400000",
    "number": "1659457315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE",
            "address_2": "SUITE 250",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161500",
            "telephone_number": "408-259-6022",
            "fax_number": "408-259-6013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE",
            "address_2": "SUITE 250",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161500",
            "telephone_number": "408-259-6022",
            "fax_number": "408-259-6013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "PHUONG-THUY",
        "middle_name": "THI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2014-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A044501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9207822",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHUONG-THUY",
            "last_name": "QUANG-DANG",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.