Individual provider Active NPI

Kim CHI Le, M.D.

  • Nephrology Physician
  • Los Angeles, CA
National Provider Identifier
1780698340
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A61348 Issued in CA
Practice address
1414 S Grand Ave Ste 100
Los Angeles, CA 90015
Phone
(213) 259-2299
Fax
(213) 481-7023
NPI assigned
Jul 28, 2006
Last updated
Sep 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A61348 CA Primary

Addresses

Primary practice location

1414 S Grand Ave Ste 100
Los Angeles, CA 90015

Mailing address

1414 S Grand Ave Ste 100
Los Angeles, CA 90015-3071
Phone (213) 259-2299

Other practice location 1

1401 S Grand Ave
Los Angeles, CA 90015-3010
Phone (213) 748-2411

Other identifiers 1

IdentifierTypeStateIssuer
00A613480MedicaidCA

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A61348CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kim CHI Le Nephrology PastSince Apr 29, 2018 Accepting new patients

Organizations & group practices 1

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1780698340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 S GRAND AVE STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153071",
            "telephone_number": "213-259-2299",
            "fax_number": "213-481-7023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 S GRAND AVE STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90015",
            "telephone_number": "213-259-2299",
            "fax_number": "213-481-7023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 S Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900153010",
            "country_code": "US",
            "telephone_number": "213-748-2411",
            "fax_number": "213-483-1711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "KIM",
        "middle_name": "CHI",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A61348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A613480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.