Individual provider Active NPI

Thinh Trung Le, DPM

  • Foot Surgery Podiatrist
  • Glendale, CA
National Provider Identifier
1962442103
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
E4208 Issued in CA
Practice address
127 S Brand Blvd
Suite 200
Glendale, CA 91204-1342
Phone
(818) 241-9100
Fax
(818) 551-9634
NPI assigned
Jun 7, 2006
Last updated
Jul 2, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X E4208 CA Primary

Addresses

Primary practice location

127 S Brand Blvd
Suite 200
Glendale, CA 91204-1342

Mailing address

903 Woodspring PL
Diamond Bar, CA 91765-4385
Phone (909) 860-8421

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040117000111 CA Practitioner - Podiatry 4385545805 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bruening Foot and Ankle IncGroup PAC ID 6901079409, 2 clinicians

Practice addresses (Care Compare)

219 W Badillo St
A
Covina, CA 91723-1907
Phone (626) 915-8777

9474 Base Line Rd
Rancho Cucamonga, CA 91701-5822
Phone (909) 987-3211

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue28
Removal of nail tissue966
Removal or shaving of skin growth628

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bruening Foot and Ankle Inc CurrentSince Feb 1, 2023 Accepting new patients
Casa Colina Hospital and Centers for Healthcare Current Accepting new patients
Yong Luke Lee Medical Corporation Past Accepting new patients
Med-Ease Pain, Inc. Past Accepting new patients
Pacific Multi Specialty Medical Group, Inc. Past Accepting new patients
Carey a. Bledsoe, D.P.M., a Professional Medical Corporation Past Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients
Eastwest Physical Therapy Inc Past Accepting new patients

Locations

219 W Badillo St
Ste A
Covina, CA 91723
Phone (626) 915-8777

9474 Base Line Rd
Rch Cucamonga, CA 91701
Phone (909) 987-3211

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: casacolina@direct.casacolina.org
  • Direct secure messaging: clinic.casacolina@direct.casacolina.org

Organizations & group practices 9

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 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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1962442103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 WOODSPRING PL",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654385",
            "telephone_number": "909-860-8421",
            "fax_number": "909-860-8421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S BRAND BLVD",
            "address_2": "SUITE 200",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912041342",
            "telephone_number": "818-241-9100",
            "fax_number": "818-551-9634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "THINH",
        "middle_name": "TRUNG",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E4208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.