| Thao Ngoc Le, NP | |
|
14544 7th St, Victorville, CA 92395-4214 | |
| (760) 245-1025 | |
| (877) 469-8906 |
| Full Name | Thao Ngoc Le |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 14544 7th St, Victorville, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467741298 | NPI | - | NPPES |
| EFF:10/15/13-ADELANT | Medicaid | CA | |
| P01288528/DU5182 | Other | CA | RAILROAD MEDICARE-VICTORVILLE |
| EFF:10/21/13 VICTORV | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 20406 (California) | Secondary |
| 363L00000X | Nurse Practitioner | NP20406 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Medical Group Gulf Coast Pllc | 4688999022 | 471 |
| Entity Name | Privia Medical Group Gulf Coast Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578969465 PECOS PAC ID: 4688999022 Enrollment ID: O20150206000763 |
| Mailing Address | Practice Location Address |
|---|---|
| Thao Ngoc Le, NP 200 Oceangate, Suite 100, Long Beach, CA 90802-4302 Ph: (562) 499-6191 | Thao Ngoc Le, NP 14544 7th St, Victorville, CA 92395-4214 Ph: (760) 245-1025 |
Bukola Gross, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13010 Hesperia Rd Ste 501, Victorville, CA 92395 Phone: 760-881-3717 | |
Jessica C Smith, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000 Fax: 760-241-0393 | |
Mrs. Shawntel Logan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12760 Hesperia Rd Ste C, Victorville, CA 92395 Phone: 760-338-0911 | |
Krystle Ann Guzman, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000 | |
Beth Ann Johnson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12830 Hesperia Rd, Suite C-d-e, Victorville, CA 92395 Phone: 760-684-8999 | |
Noarie Iverie Magoun, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12677 Hesperia Rd Ste 130, Victorville, CA 92395 Phone: 760-241-7763 Fax: 760-241-6383 | |
Jose Manuel Ortega, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16850 Bear Valley Rd, Victorville, CA 92395 Phone: 760-241-8000 |