Active NPI
Cac Thanh Le, MD
- Pediatrics Physician
- Harvey, LA
National Provider Identifier
1841374410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 07096R
- Practice address
- 851 Manhattan Blvd
Suite a
Harvey, LA 70058 - Phone
- (504) 368-4392
- Fax
- (504) 368-4396
- NPI assigned
- Oct 24, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 07096R | LA | Primary |
| Pediatrics Physician | 208000000X | A44730 | CA |
Addresses
Primary practice location
851 Manhattan Blvd
Suite a
Harvey, LA 70058
Mailing address
851 Manhattan Blvd
Suite a
Harvey, LA 70058
Phone (504) 368-6686
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366277 | Medicaid | LA |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A44730 | CA | MD | Pediatrics Physician |
| 07096R | LA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841374410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "851 MANHATTAN BLVD",
"address_2": "SUITE A",
"city": "HARVEY",
"state": "LA",
"postal_code": "70058",
"telephone_number": "504-368-6686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "851 MANHATTAN BLVD",
"address_2": "SUITE A",
"city": "HARVEY",
"state": "LA",
"postal_code": "70058",
"telephone_number": "504-368-4392",
"fax_number": "504-368-4396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LE",
"first_name": "CAC",
"middle_name": "THANH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "LA",
"license": "07096R",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A44730",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1366277",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Harvey, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.