DR. RONNY TRAN LE D.D.S
NPI 1104241017
Dentist - General Practice in San Diego, CA

Active since February 28, 2014PECOS Enrolled
5675 BALBOA AVE, SAN DIEGO, CA 92111(858) 268-0110 Get Directions Write a Review

NPPES record last updated: February 28, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ronny Tran Le D.d.s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RONNY TRAN LE D.D.S (NPI 1104241017) is an individual general practice provider in San Diego, California, licensed in California (62766) and active in the NPI registry since February 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104241017
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. RONNY TRAN LECredential: D.D.S
Location Address5675 BALBOA AVESan Diego, CA 92111-2705
Mailing Address5675 Balboa AveSan Diego, CA 92111-2705 · (858) 268-0110
Sole ProprietorNo
Enumeration DateFebruary 28, 2014
NPI 1104241017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 62766
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
5675 BALBOA AVE, San Diego, CA 92111

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Ronny Tran Le D.d.s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
5675 BALBOA AVE
SAN DIEGO, CA 92111
Dentist (General Practice)
5675 BALBOA AVE
SAN DIEGO, CA 92111
Dentist (General Practice)
5675 BALBOA AVE
SAN DIEGO, CA 92111
Dentist (General Practice)
5675 BALBOA AVE
SAN DIEGO, CA 92111
Dentist (General Practice)
5675 BALBOA AVE
SAN DIEGO, CA 92111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ronny Le's NPI number?

The NPI number for Ronny Le is 1104241017. It was assigned to this individual provider in the NPPES registry on February 28, 2014.

Where is Ronny Le located?

Ronny Le practices at 5675 Balboa Ave, San Diego, CA 92111. The listed phone number is (858) 268-0110.

What is Ronny Le's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Ronny Le enrolled in Medicare?

Yes. Ronny Le is registered in the Medicare PECOS enrollment system.

What insurance does Ronny Le accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Ronny Le as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ronny Le was last updated on February 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.