ANDREW NGUYEN LE (D.O.) – Sports Medicine (Family Medicine) Physician, NPI 1053845974
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
700 SPORTS MEDICINE in CA
Provider Addresses for ANDREW NGUYEN LE (D.O.)
17762 BEACH BLVD STE 200
HUNTINGTON BEACH, CA 926476860
Phone: (714) 848-0080
Fax: (714) 665-4679
Type: Mailing
Kaiser Permanente Woodland Hills Medical Center, 5601, De Soto Avenue, Warner Center, Los Angeles, Los Angeles County, California, 91365, United States
WOODLAND HILLS, CA 913676701
Phone:
Type: Mailing
17762 BEACH BLVD STE 220
HUNTINGTON BEACH, CA 926476860
Phone: (714) 848-0080
Fax: (714) 665-4679
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $74.
Total Amount is formed as General ($74) + Research ($0) + Ownership ($0) = $74.
Last reported payment date: 2023-06-28 • Largest payer in this snapshot: Lilly USA, LLC ($31).
Total Amount
$74
General + Research + Ownership
Payments
3
Total payment records
General Amount
$74
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $31 |
| SANOFI-AVENTIS U.S. LLC | $22 |
| GlaxoSmithKline, LLC. | $21 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-10-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191014001648 | I | Sports Medicine | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 400 | 65 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 105 | 62 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 76 | 56 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 70 | 52 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 61 | 52 | $0 |
Insurance plans in this area (ZIP 92647)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | CA | |
| Nurse Practitioner | CA | |
| Internal Medicine | CA | |
| Internal Medicine, Pediatric Medicine | CA | |
| Neurology, Internal Medicine | CA | |
| - | CA | |
| - | CA | |
| - | CA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.