Individual provider Active NPI

Vincent Le, DO

  • Family Medicine Physician
  • San Jose, CA
National Provider Identifier
1760485171
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A8549 Issued in CA
Practice address
3640 Sweigert Rd
San Jose, CA 95132-2448
Phone
(408) 318-2840
NPI assigned
May 31, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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 20A8549 CA Primary

Addresses

Primary practice location

3640 Sweigert Rd
San Jose, CA 95132-2448

Mailing address

3640 Sweigert Rd
San Jose, CA 95132-2448
Phone (408) 318-2840

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
I20040304001381 CA Practitioner - Family PracticePractitioner - Osteopathic Manipulative MedicinePractitioner - Hospice/Palliative Care 7911895693 Practice locations: Milpitas, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A8549CAMDFamily Medicine Physician
8549CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
California Care Level Management Direct Medical Group, Inc PastSince Jun 26, 2006 Accepting new patients
South Bay House-Call Doctor Family Medicine PastSince Jan 1, 1990 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": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1760485171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 SWEIGERT RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951322448",
            "telephone_number": "408-318-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 SWEIGERT RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951322448",
            "telephone_number": "408-318-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "VINCENT",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A8549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.