Individual provider Active NPI

Tam Huu Le, M.D.

  • Colon & Rectal Surgery Physician
  • Fountain Valley, CA
National Provider Identifier
1699770370
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
G59425 Issued in CA
Practice address
18225 Brookhurst St Ste 1
Fountain Valley, CA 92708-6719
Phone
(714) 861-4560
Fax
(714) 861-4566
NPI assigned
Jun 17, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X G59425 CA Primary

Addresses

Primary practice location

18225 Brookhurst St Ste 1
Fountain Valley, CA 92708-6719

Mailing address

18111 Brookhurst St
2600
Fountain Valley, CA 92708-6728
Phone (714) 861-4560

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
I20041202000343 CA Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 2365402203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tam H Le MD IncGroup PAC ID 4284694126, 2 clinicians

Practice addresses (Care Compare)

18111 Brookburst St
Fountain Valley, CA 92708-6728

18225 Brookhurst St
Suite 1
Fountain Valley, CA 92708-6719
Phone (714) 861-4560

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy30
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)13
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10
Removal of skin lesions12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Tam H. Le, MD Inc. CurrentSince Oct 14, 2004 Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Memorial Medical Group Inc Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients
Quy V. Le, MD Inc. Colon & Rectal Surgery Past Accepting new patients

Locations

18111 Brookhurst St
#2600
Fountain Valley, CA 92708
Phone (714) 861-4560

18111 Brookhurst St
Ste 2600
Fountain Vly, CA 92708
Phone (714) 200-1010

18111 Brookhurst St
Ste 1
Fountain Vly, CA 92708

18225 Brookhurst St
Ste 1
Fountain Vly, CA 92708
Phone (714) 861-4560

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: tlemd77220@direct.memorialcare.org
  • Direct secure messaging: tamle@hcpca.allscriptsdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1699770370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18111 BROOKHURST ST",
            "address_2": "2600",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086728",
            "telephone_number": "714-861-4560",
            "fax_number": "714-861-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18225 BROOKHURST ST STE 1",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086719",
            "telephone_number": "714-861-4560",
            "fax_number": "714-861-4566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "TAM",
        "middle_name": "HUU",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "CA",
            "license": "G59425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.