NPIMap

Individual provider Active NPI

Charles Nguyen-Thanh Le, M.D.

  • Nephrology Physician
  • San Diego, CA
National Provider Identifier
1821243759
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A124891 Issued in CA
Practice address
4440 Euclid Ave
Suite a
San Diego, CA 92115-4522
Phone
(619) 521-6812
Fax
(619) 521-6802
NPI assigned
Nov 19, 2008
Last updated
May 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A124891 CA
Nephrology Physician 207RN0300X A124891 CA Primary

Addresses

Primary practice location

4440 Euclid Ave
Suite a
San Diego, CA 92115-4522

Mailing address

4440 Euclid Ave
Suite a
San Diego, CA 92115-4522
Phone (619) 521-6812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131120001740 CA Practitioner - Internal MedicinePractitioner - Nephrology 2860533767 Reassigns benefits to 4 organizations
Practice locations: San Diego, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Saint Louis University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Charles N Le Medical AllianceGroup PAC ID 4385043751, 2 clinicians

Practice addresses (Care Compare)

4440 Euclid Ave
Suite a
San Diego, CA 92115-4522
Phone (619) 521-6812

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
96.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A124891CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charles N Le, MD Internal Medicine CurrentSince Mar 11, 2021 Accepting new patients
Charles Le M.D. Peace of Mind Alliances Internal Medicine Current Accepting new patients
Charles N Le Medical Alliance Internal Medicine CurrentSince Jan 27, 2021 Accepting new patients
Scripps Health Current Accepting new patients
NR Medical Associates Internal Medicine CurrentSince May 1, 2015 Accepting new patients
Hospitalists at Centennial Medical Center LLC Past Accepting new patients
Sound Hospitalists of Centura, PC Internal Medicine Past Accepting new patients
Grossmont Hospital Corporation Past Accepting new patients
Sharp Chula Vista Medical Center Past Accepting new patients
Regents of the University of California Past Accepting new patients
Ikidney Care Clinic Nephrology PastSince Oct 1, 2013 Accepting new patients

Locations

302 Washington St
San Diego, CA 92103
Phone (800) 790-0890

4440 Euclid Ave
#B
San Diego, CA 92115

4440 Euclid Ave
Ste A
San Diego, CA 92115
Phone (619) 280-3200

4440 Euclid Ave
Ste B
San Diego, CA 92115
Phone (619) 521-6812

555 Washington St
San Diego, CA 92103
Phone (619) 260-8300

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: cle81242@scrippshlth.medalliesdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/AAGIBD/Endpoint/AAGIBD

Organizations & group practices 12

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1821243759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 EUCLID AVE",
            "address_2": "SUITE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154522",
            "telephone_number": "619-521-6812",
            "fax_number": "619-521-6802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 EUCLID AVE",
            "address_2": "SUITE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154522",
            "telephone_number": "619-521-6812",
            "fax_number": "619-521-6802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "CHARLES",
        "middle_name": "NGUYEN-THANH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-19",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A124891",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A124891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.