Organization Active NPI

Nguyet Le MD Inc

  • Family Medicine Physician
  • Anaheim, CA
National Provider Identifier
1790839306
Registry record updated Sep 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G81603 Issued in CA
Legal business name
NGUYET LE MD INC
Practice address
1771 W Romneya Dr Ste E1
Anaheim, CA 92801-1817
Phone
(714) 535-5589
Fax
(714) 535-1026
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2022

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

Authorized official

Name
Dr. Nguyet Bich Le, MDNPI 1154346542
Title
President
Phone
(714) 535-5589

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X G81603 CA Primary

Addresses

Primary practice location

1771 W Romneya Dr Ste E1
Anaheim, CA 92801-1817

Mailing address

1771 W Romneya Dr Ste E1
Anaheim, CA 92801-1817
Phone (714) 535-5589

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070517000611 CA Part B Supplier - Clinic/Group Practice 1456458975 Receives reassigned benefits from 2 practitioners
Practice locations: Anaheim, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1015861Nguyet Le, MD Inc1771 W Romneya Drive Suite E1, Anaheim, CA 92801Certificate of waiverAug 13, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662163200000",
    "number": "1790839306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 W ROMNEYA DR STE E1",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011817",
            "telephone_number": "714-535-5589",
            "fax_number": "714-535-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 W ROMNEYA DR STE E1",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011817",
            "telephone_number": "714-535-5589",
            "fax_number": "714-535-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGUYET LE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2022-09-03",
        "certification_date": "2022-09-03",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "NGUYET",
        "authorized_official_middle_name": "BICH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-535-5589",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G81603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.