TIM LE DDS & CHRISTOPHER TONG DDS (NPI# 1821290511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821290511 |
| Entity Type | Organization |
| Organization Name | TIM LE DDS & CHRISTOPHER TONG DDS |
| Practice Address |
9330 Mira Mesa Blvd Ste B San Diego CA 92126-4822 |
| Practice Telephone | 8586939070 |
| Practice Fax Number | 8586931521 |
| Mailing Telephone | 8586939070 |
| Mailing Fax Number | 8586931521 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2016-08-25 |
| Authorized Official Name | TIM LE (DOCTOR) |
| Authorized Official Telephone | 8586939070 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | 42841 | CA | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DENTICAL | G91967-01 | 01 |
| Street Address |
9330 MIRA MESA BLVD STE B |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92126-4822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104949692 | Christopher Tong | Dentist | 9330 Mira Mesa Blvd Ste B, San Diego, CA 92126-4822 | 2007-04-09 |
| 1457707366 | Tim Le | Dentist | 9330 Mira Mesa Blvd Ste B, San Diego, CA 92126-4822 | 2016-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730741299 | Eye Connection Optometry, Inc | Optometrist | 9516 Miramar Road, San Diego, CA 92126 | 2019-07-05 |
| 1811450935 | Anne Phabmixay | Student in an Organized Health Care Education/Training Program | Douglas Young Wellness Center, 10717 Camino Ruiz Suite 207, San Diego, CA 92126 | 2019-04-08 |
| 1679035588 | Emily Nguyen | Registered Nurse | 8210 Elston Place, San Diego, CA 92126 | 2019-04-01 |
| 1558832139 | Dana Douglas-hiley | Speech-Language Pathologist | 9606 Tierra Grande St., Suite 107, San Diego, CA 92126 | 2018-12-08 |
| 1275022873 | Breeann Nicole Poulson | Speech-Language Pathologist | 9466 Black Mountain Rd Suite 100, San Diego, CA 92126 | 2018-05-09 |
| 1659878882 | My Phuong Thi Phan | Registered Nurse | 10938 Hyades Way, San Diego, CA 92126 | 2018-04-13 |
| 1083132153 | Ruth Tamar Morales | Occupational Therapist | Children's Ot Services, Inc, 9606 Tierra Grande St., #104, San Diego, CA 92126 | 2017-09-08 |
| 1487184339 | Chelsea Irene Johnson | Marriage & Family Therapist | 8670 New Salem St. Unit 106, San Diego, CA 92126 | 2017-06-14 |
| 1336508506 | Brenda L. Bebal | Nurse Practitioner | 10737 Camino Ruiz; Ste 235, Operation Samahan Health Clinic, San Diego, CA 92126 | 2016-02-17 |
| 1700245099 | Naval Medical Center San Diego | Pharmacy | Mcas Miramar Exchange Pharmacy, Bldg 2660, San Diego, CA 92126 | 2016-02-16 |
| Find all providers in zip 92126 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477002079 | Icare-usa LLC | Point of Service | 11036 Caminito Alvarez, San Diego, CA 92126-5701 | 2016-09-25 |
| 1205212586 | Mobilia Dmd Inc. | Point of Service | 12405 Rancho Bernardo Rd., San Diego, CA 92128 | 2015-08-10 |
| 1619279361 | Pq Outreach Coalition | Point of Service | 10060 Carmel Mountain Rd, San Diego, CA 92129-3228 | 2010-12-01 |
| 1720233463 | Jenice Staniford | Point of Service | 4626 59th St, San Diego, CA 92115-3830 | 2008-11-21 |
| 1245428531 | Andrew J. Zakarian, Dds, Inc. | Point of Service | 3501 4th Ave, San Diego, CA 92103-4912 | 2007-10-11 |
| 1093902934 | Pathways Community Services LLC | Point of Service | 7986 Dagget St, San Diego, CA 92111-2321 | 2007-09-25 |
| 1073933602 | Trg Business Consulting Dynamics, Inc. | Point of Service | 7840 Mission Center Ct, Suite 102, San Diego, CA 92108-1319 | 2014-04-22 |
| 1649609959 | Advantage On Call | Point of Service | 2515 Camino Del Rio S, 142, San Diego, CA 92108-3792 | 2013-11-06 |
| 1437338621 | Providence Community Services | Point of Service | 3635 Ruffin Rd Ste 100, San Diego, CA 92123-1853 | 2007-10-24 |
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| 1558906982 | Session Sync, Inc. | Point of Service | 44262 Marcelina Court, Temecula, CA 92592 | 2019-11-08 |
| 1629622063 | Rose Woo Psychologists Inc | Point of Service | 16 S Oakland Ave Ste 214, Pasadena, CA 91101-2042 | 2019-07-24 |
| 1770136426 | Hmk Medical Transportation | Point of Service | 267 Aldama Ave, Pomona, CA 91767-1749 | 2019-07-22 |
| 1427516681 | Klifford T Kapus Dds., Msd A Dental Corporation | Point of Service | 4200 East Ave Ste 100, Livermore, CA 94550-4945 | 2019-03-06 |
| 1821553850 | Reginald Washington | Point of Service | 2733 Lemon Grove Ave, Lemon Grove, CA 91945-2938 | 2019-02-04 |
| 1417432246 | Access Multilingual Services, Inc. | Point of Service | 11041 Santa Monica Blvd, #813, Los Angeles, CA 90025-3523 | 2018-09-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.