Individual provider Active NPI

Tom Long Le, M.D.

  • Family Medicine Physician
  • Orange, CA
National Provider Identifier
1669547006
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A88137 Issued in CA
Practice address
2501 E Chapman Ave Ste 101
Orange, CA 92869-3204
Phone
(714) 629-3300
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A88137 CA Primary

Addresses

Primary practice location

2501 E Chapman Ave Ste 101
Orange, CA 92869-3204

Mailing address

2501 E Chapman Ave Ste 101
Orange, CA 92869-3204
Phone (714) 629-3300

Other practice location 1

1421 W MacArthur Blvd
Suite E
Santa Ana, CA 92704-7318
Phone (714) 710-3030

Other identifiers 1

IdentifierTypeStateIssuer
00A8813700MedicaidCA

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
I20050803001255 CA Practitioner - Family Practice 6204864887 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

10165 Valley View St
Cypress, CA 90630-4602
Phone (714) 252-5016

14443 Culver Dr
14443 A
Irvine, CA 92604-0343
Phone (949) 767-8173

2501 E Chapman Ave
Orange, CA 92869-3204
Phone (714) 633-7175

3851 Katella Ave
Suite 100
Los Alamitos, CA 90720-3385
Phone (562) 430-4138

858 N Rose Dr
Suite C 2
Placentia, CA 92870-7522
Phone (714) 792-3736

Merit-based Incentive Payment System (MIPS)

Final score
96.26 of 100Reported as apm
Quality
84.3
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation Family Medicine CurrentSince Nov 25, 2024 Accepting new patients
Providence Medical Foundation Family Medicine CurrentSince Nov 25, 2024 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Family Urgent Care & Industrial Medical Clinic, Inc. Family Medicine Past Accepting new patients
Family Urgent Care & Industrial Medical Clinic, Inc. Past Accepting new patients
Advanced Family Care Medical Group Inc Past Accepting new patients

Locations

5630 E Santa Ana Canyon Rd
Ste 100
Anaheim, CA 92807
Phone (714) 257-6170

200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841

19333 Bear Valley Rd
Ste 106
Apple Valley, CA 92308
Phone (760) 240-5505

15855 Pomona Rincon Rd
Bldg 4
Chino Hills, CA 91709
Phone (714) 626-8630

15855 Pomona Rincon Rd
Chino Hills, CA 91709
Phone (909) 264-8666

1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835

100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200

2501 E Chapman Ave
Ste 101
Orange, CA 92869
Phone (714) 628-3300

2501 E Chapman Ave
Orange, CA 92869
Phone (714) 628-3300

363 S Main St
Ste 110
Orange, CA 92868
Phone (714) 855-3602

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1669547006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 E CHAPMAN AVE STE 101",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928693204",
            "telephone_number": "714-629-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 E CHAPMAN AVE STE 101",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928693204",
            "telephone_number": "714-629-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1421 W MacArthur Blvd",
            "address_2": "Suite E",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927047318",
            "country_code": "US",
            "telephone_number": "714-710-3030",
            "fax_number": "714-668-9596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "TOM",
        "middle_name": "LONG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A88137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A8813700",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.