Organization Active NPI

Tom L. Le, M.D., Inc.

  • Primary Care Clinic/Center
  • Santa Ana, CA
National Provider Identifier
1790197085
Registry record updated Sep 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
TOM L. LE, M.D., INC.
Practice address
1421 W Macarthur Blvd
Suite E
Santa Ana, CA 92704-7318
Phone
(714) 710-3030
Fax
(714) 668-9596
NPI assigned
May 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2019

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

Authorized official

Name
Dr. Tom Long Le, M.D.
Title
President
Phone
(714) 710-3030

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X CA Primary
Urgent Care Clinic/Center 261QU0200X CA
Occupational Medicine Clinic/Center 261QX0100X CA

Addresses

Primary practice location

1421 W Macarthur Blvd
Suite E
Santa Ana, CA 92704-7318

Mailing address

1421 W Macarthur Blvd
Suite E
Santa Ana, CA 92704-7318
Phone (714) 710-3030

Other identifiers 1

IdentifierTypeStateIssuer
1669547006OtherCANPI 1

Other names 1

  • COASTLINE URGENT CARE Doing business as

National Provider Directory

National Provider Directory

Locations

1421 W MacArthur Blvd
Santa Ana, CA 92704
Phone (714) 668-9596

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568678400000",
    "number": "1790197085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 W MACARTHUR BLVD",
            "address_2": "SUITE E",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927047318",
            "telephone_number": "714-710-3030",
            "fax_number": "714-668-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 W MACARTHUR BLVD",
            "address_2": "SUITE E",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927047318",
            "telephone_number": "714-710-3030",
            "fax_number": "714-668-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOM L. LE, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-21",
        "last_updated": "2019-09-17",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "LONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-710-3030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1",
            "identifier": "1669547006",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COASTLINE URGENT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.