Active NPI
Bao Quoc Le, MD
- General Practice Physician
- Long Beach, CA
National Provider Identifier
1821027418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A34114
- Practice address
- 2944 E Anaheim St
Long Beach, CA 90804-3726 - Phone
- (562) 599-5777
- Fax
- (562) 433-2886
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A34114 | CA | Primary |
Addresses
Primary practice location
2944 E Anaheim St
Long Beach, CA 90804-3726
Mailing address
2944 E Anaheim St
Long Beach, CA 90804-3726
Phone (562) 599-5777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A341140 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1967
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2944 E Anaheim St
Long Beach, CA 90804-3726
Phone (562) 599-5777
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bao Quoc Le MD. Inc | General Practice | Current | Accepting new patients |
| Nova Care Clinic, Inc | General Practice | Current | Accepting new patients |
Locations
2944 E Anaheim St
Long Beach, CA 90804
Phone (562) 599-5777
Organizations & group practices 2
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.
-
- General Practice Physician
- Long Beach, CA
- NPI 1013223072
-
- General Practice Physician
- Long Beach, CA
- NPI 1205786621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279670400000",
"number": "1821027418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2944 E ANAHEIM ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908043726",
"telephone_number": "562-599-5777",
"fax_number": "562-433-2886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2944 E ANAHEIM ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908043726",
"telephone_number": "562-599-5777",
"fax_number": "562-433-2886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "BAO",
"middle_name": "QUOC",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2010-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A34114",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A341140",
"state": "CA"
}
],
"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 Jul 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.