Individual provider Active NPI

Rosemary Nguyen Le, NP

  • Family Nurse Practitioner
  • Orange, CA
National Provider Identifier
1962545707
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
14490 Issued in CA
Practice address
1310 W Stewart Dr Ste 602
Orange, CA 92868-3857
Phone
(949) 439-9327
NPI assigned
Feb 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 14490 CA Primary

Addresses

Primary practice location

1310 W Stewart Dr Ste 602
Orange, CA 92868-3857

Mailing address

1310 W Stewart Dr Ste 602
Orange, CA 92868-3857
Phone (714) 367-6027

Other practice location 1

1310 W Stewart Dr Ste 602
Orange, CA 92868-3857
Phone (714) 367-6027

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070525000227 CA Practitioner - Nurse Practitioner 9931206968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1310 W Stewart Dr
Suite 602
Orange, CA 92868-3857
Phone (949) 439-9327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
14490CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oc Pain and Supportive Care Professional Nursing Corporation Family CurrentSince Jul 13, 2023 Accepting new patients

Locations

1310 W Stewart Dr
Ste 602
Orange, CA 92868
Phone (714) 602-9891

340 E 1st St
Unit 684
Tustin, CA 92781

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1962545707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 W STEWART DR STE 602",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683857",
            "telephone_number": "714-367-6027",
            "fax_number": "714-276-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 W STEWART DR STE 602",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683857",
            "telephone_number": "949-439-9327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1310 W Stewart Dr Ste 602",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928683857",
            "country_code": "US",
            "telephone_number": "714-367-6027",
            "fax_number": "714-276-6680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "ROSEMARY",
        "middle_name": "NGUYEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "14490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.