Individual provider Active NPI

Anthony Watana Le, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Tarzana, CA
National Provider Identifier
1720185291
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4333 Issued in CA
Practice address
18370 Burbank Blvd Ste 107
Tarzana, CA 91356-2813
Phone
(818) 345-3338
Fax
(818) 345-3363
NPI assigned
Sep 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E4333 CA Primary

Addresses

Primary practice location

18370 Burbank Blvd Ste 107
Tarzana, CA 91356-2813

Mailing address

945 W 7TH St
Oxnard, CA 93030-6756
Phone (805) 483-7799

Other practice location 1

945 W 7th St
Oxnard, CA 93030-6756
Phone (805) 483-7799

Other practice location 2

945 W 7th St
Oxnard, CA 93030-6756
Phone (805) 483-7799

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050218000810 CA Practitioner - Podiatry 4284686189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anthony Le, DPM a Professional CorporationGroup PAC ID 0042317729, 2 clinicians

Practice addresses (Care Compare)

18370 Burbank Blvd
Suite 107
Tarzana, CA 91356-2813
Phone (818) 345-3338

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue15
Removal of nail tissue138
Removal or shaving of skin growth574

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E4333CAMDFoot & Ankle Surgery Podiatrist
4333CAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Tarzana Medical Center LLC Past Accepting new patients

Organizations & group practices 2

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": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1720185291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 W 7TH ST",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930306756",
            "telephone_number": "805-483-7799",
            "fax_number": "805-487-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18370 BURBANK BLVD STE 107",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562813",
            "telephone_number": "818-345-3338",
            "fax_number": "818-345-3363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "945 W 7th St",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930306756",
            "country_code": "US",
            "telephone_number": "805-483-7799",
            "fax_number": "805-487-4841",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "945 W 7th St",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930306756",
            "country_code": "US",
            "telephone_number": "805-483-7799",
            "fax_number": "805-487-4841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "ANTHONY",
        "middle_name": "WATANA",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-19",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.