Individual provider Active NPI

Dan D Le, M.D.

  • Cardiovascular Disease Physician
  • Westminster, CA
National Provider Identifier
1912214347
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
C158790 Issued in CA
Practice address
9500 Bolsa Ave Ste P
Westminster, CA 92683-5943
Phone
(714) 714-0075
Fax
(833) 699-2097
NPI assigned
Sep 7, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C158790 CA
Interventional Cardiology Physician 207RI0011X C158790 CA
Nuclear Cardiology Physician 207UN0901X C158790 CA
Cardiovascular Disease Physician 207RC0000X C158790 CA Primary

Addresses

Primary practice location

9500 Bolsa Ave Ste P
Westminster, CA 92683-5943

Mailing address

PO Box 20259
Fountain Valley, CA 92728-0259
Phone (718) 974-0148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, IL, CA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20151130002121 NC Practitioner - Internal Medicine 3274790746 Reassigns benefits to 1 organization
I20180802001173 IL Practitioner - Cardiovascular Disease (Cardiology) 3274790746 Reassigns benefits to 1 organization
I20200710000422 CA Practitioner - Cardiovascular Disease (Cardiology) 3274790746 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9500 Bolsa Ave
Suite P
Westminster, CA 92683-5943
Phone (714) 714-0075

Hospital & facility affiliations

  • Memorialcare Orange Coast Medical Center Hospital, Fountain Valley, CA, CCN 050678

Merit-based Incentive Payment System (MIPS)

Final score
97.76 of 100Reported as individual
Quality
93.42
Improvement activities
40
Cost
79.13

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Varicose vein removal40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. 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
C158790CAMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Medical Group LLC CurrentSince Nov 1, 2015 Accepting new patients
Pacific Cardiovascular Associates Medical Group, Inc. CurrentSince Aug 17, 2020 Accepting new patients
Dan Le Cardiology Cardiovascular Disease CurrentSince Mar 26, 2021 Accepting new patients
Southern Illinois Medical Services, NFP Internal Medicine CurrentSince Jul 1, 2018 Accepting new patients
Modern Nuclear, Inc. CurrentSince Oct 1, 2022 Accepting new patients
New Vita Medical Past Accepting new patients

Locations

3080 Bristol St
Ste 600
Costa Mesa, CA 92626
Phone 7144450228 ext. 8262

24022 Calle de la Plata
Ste 500
Laguna Hills, CA 92653
Phone (877) 430-7337

681 S Parker St
Ste 100
Orange, CA 92868
Phone 7144450228 ext. 8262

9500 Bolsa Ave
Ste P
Westminster, CA 92683
Phone (714) 714-0075

14002 Beach Blvd
Westminster, CA 92683
Phone (657) 400-9900

201 Bailey Ln
Benton, IL 62812
Phone (618) 438-3113

1239 E Main St
Carbondale, IL 62901

409 W Oak St
Carbondale, IL 62901
Phone (618) 536-2565

2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

100 Airport Rd
Kinston, NC 28501
Phone (252) 522-7000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: dle642147@direct.memorialcare.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/HGHECD
  • FHIR API: https://fhir4.healow.com/fhir/r4/HGHECD/Endpoint/HGHECD

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1283817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1912214347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20259",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927280259",
            "telephone_number": "718-974-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 BOLSA AVE STE P",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835943",
            "telephone_number": "714-714-0075",
            "fax_number": "833-699-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "DAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-07",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C158790",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "C158790",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "CA",
            "license": "C158790",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "C158790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

Verify at the official NPI Registry.