Active NPI
Kim CHI Le, M.D.
- Nephrology Physician
- Los Angeles, CA
National Provider Identifier
1780698340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- A61348
- 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, 2018
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A613480 | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| A61348 | CA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kim CHI Le | Nephrology | Past | 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.
-
- Nephrology Physician
- Los Angeles, CA
- NPI 1063903235
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.