Active NPI
Shawna Phung-Kieu Le, NP
- Psychiatric/Mental Health Nurse Practitioner
- Long Beach, CA
National Provider Identifier
1811670292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95025847
- Practice address
- 3703 Long Beach Blvd
Long Beach, CA 90807-3329 - Phone
- (562) 724-3897
- NPI assigned
- Aug 10, 2023
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95025847 | CA | Primary |
Addresses
Primary practice location
3703 Long Beach Blvd
Long Beach, CA 90807-3329
Mailing address
3703 Long Beach Blvd Ste 400
Long Beach, CA 90807-3332
Phone (562) 427-3897
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95025847 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aleksandra Wirga, M.D., Inc. | Current | Accepting new patients |
Locations
3703 Long Beach Blvd
Ste 400
Long Beach, CA 90807
Phone (562) 427-3897
4201 Long Beach Blvd
Ste 203
Long Beach, CA 90807
Phone (562) 427-3897
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 and National Provider Directory roles.
-
- Psychiatry Physician
- Long Beach, CA
- NPI 1861716953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1811670292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3703 LONG BEACH BLVD STE 400",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908073332",
"telephone_number": "562-427-3897",
"fax_number": "562-309-9998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3703 LONG BEACH BLVD",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908073329",
"telephone_number": "562-724-3897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "SHAWNA",
"middle_name": "PHUNG-KIEU",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-10",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95025847",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.