Active NPI
Jennie Le, M.D.
- Pediatrics Physician
- Corona, CA
National Provider Identifier
1780002311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A142307
- Practice address
- 341 Magnolia Avenue
Suite 201
Corona, CA 92879-3332 - Phone
- (951) 735-6969
- NPI assigned
- Apr 1, 2014
- Last updated
- May 1, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A142307 | CA | Primary |
Addresses
Primary practice location
341 Magnolia Avenue
Suite 201
Corona, CA 92879-3332
Mailing address
6151 Bannock Rd
Westminster, CA 92683-1923
Phone (714) 718-2597
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A142307 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspen Medical Group, Inc | Pediatrics | Past | Accepting new patients |
| Aspen Medical Group, Inc. | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- le.jennie.001.0050260@amg.meditab.direct-ci.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714521600000",
"number": "1780002311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6151 BANNOCK RD",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926831923",
"telephone_number": "714-718-2597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "341 MAGNOLIA AVENUE",
"address_2": "SUITE 201",
"city": "CORONA",
"state": "CA",
"postal_code": "928793332",
"telephone_number": "951-735-6969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "JENNIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-01",
"last_updated": "2024-05-01",
"certification_date": "2024-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A142307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.