Individual provider Active NPI

Vu T Le, DDS

  • Dentist
  • Santa Barbara, CA
National Provider Identifier
1962707919
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
59790 Issued in CA
Practice address
1900 State St
Suite G
Santa Barbara, CA 93101-2429
Phone
(805) 617-7858
Fax
(805) 898-2002
NPI assigned
Jan 24, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 59790 CA Primary

Addresses

Primary practice location

1900 State St
Suite G
Santa Barbara, CA 93101-2429

Mailing address

1900 State St
Suite G
Santa Barbara, CA 93101-2429
Phone (805) 617-7858

Other identifiers 1

IdentifierTypeStateIssuer
59790OtherDDS LICENSE

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
59790CAMDPharmacist
81HIMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Molokai Ohana Health Care, Inc. PastSince Nov 16, 2021 Accepting new patients

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": "1295827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1962707919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 STATE ST",
            "address_2": "SUITE G",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012429",
            "telephone_number": "805-617-7858",
            "fax_number": "805-898-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 STATE ST",
            "address_2": "SUITE G",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012429",
            "telephone_number": "805-617-7858",
            "fax_number": "805-898-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "VU",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-24",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "59790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DDS LICENSE",
            "identifier": "59790",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.