Crystal Le, MD Corporation

Primary specialty

Glaucoma Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0009X

Legal business name

CRYSTAL LE, MD CORPORATION

Practice address

491 30TH St Ste 103
Oakland, CA 94609-3235

Phone

(510) 763-9775

Fax

(510) 763-1501

NPI assigned

Sep 27, 2022

Last updated

Oct 1, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Crystal Le, MDNPI 1447678941

Title

President

Phone

(504) 390-7220

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Interoperability endpoints

• Direct secure messaging: cle@ogs.intellechartdirect.net
• Direct secure messaging: redelman@ogs.intellechartdirect.net

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Crystal Phuong Le, M.D.

  • Glaucoma Specialist (Ophthalmology) Physician
  • Oakland, CA
  • NPI 1447678941

  Single Specialty

  Medicare reassignment NPD Authorized official
• Robert Edelman, M.D.

  • Ophthalmology Physician
  • Castro Valley, CA
  • NPI 1184832313
  NPD

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664582400000",
    "number": "1902520521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 30TH ST STE 103",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093235",
            "telephone_number": "510-763-9775",
            "fax_number": "510-763-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 30TH ST STE 103",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093235",
            "telephone_number": "510-763-9775",
            "fax_number": "510-763-1501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 Van Ness Ave Ste 330",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941023285",
            "country_code": "US",
            "telephone_number": "415-771-4020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Potrero Ave",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941103518",
            "country_code": "US",
            "telephone_number": "628-206-4420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CRYSTAL LE, MD CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-10-01",
        "certification_date": "2022-10-01",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-390-7220",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0009X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maricel Cruz
• Miltom Cruz
• Raul M. Cruz, MD
• Samuel Cruz
• Sydney Lee Cruz
• Nina Analise Csombor
• Anastasia B. Cua, MD
• Carlos Hernan Cuadra
• Gloria Vilaseca Cuadra, MSW
• Juan Dario Cuba

• Glaucoma Specialist (Ophthalmology) Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• Glaucoma Specialist (Ophthalmology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.