Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LE THANH LAC DO
NPI 1831893569
Internal Medicine in Roseville, CA

Q: What is Le Lac's NPI number?

The NPI number for Le Lac is 1831893569. It was assigned to this individual provider in the NPPES registry on March 28, 2023.

Q: What is Le Lac's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Le Lac was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.

Active since March 28, 2023PECOS Enrolled

2261 DOUGLAS BLVD, ROSEVILLE, CA 95661(916) 791-0922(916) 791-0905 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 18, 2026, Mar 28, 2023 (2 updates tracked since 2023).

On this page

About Le Thanh Lac Do NPPES

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

LE THANH LAC DO (NPI 1831893569) is an individual internal medicine provider in Roseville, California, licensed in California (20A24908) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Roseville, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1831893569

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameLE THANH LACCredential: DO

Location Address2261 DOUGLAS BLVDRoseville, CA 95661-3831

Mailing AddressPo Box 255228Sacramento, CA 95865-5228 · (800) 470-0071 · Fax (916) 854-6769

Phone(916) 791-0922

Fax(916) 791-0905

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMarch 28, 2023

Last NPPES UpdateSeptember 18, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2026

✔ NPI 1831893569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · 20A24908

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2261 DOUGLAS BLVD, Roseville, CA 95661

Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Medical Plaza DrRoseville, CA 95661-3037 · Phone (916) 781-1000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Le Thanh Lac Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264887041

PECOS Enrollment IDI20260831003056

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.

Medicare Billing Reassignment

Medicare enrollment records show Le Lac reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sutter Medical Foundation

13 mi

Diagnostic Radiology

2800 L ST FL 7
Sacramento, CA 95816

Reassigned Medicare billing, California enrollment
Medicare enrollment name: Sutter Valley Medical Foundation
3,056 clinicians in this Medicare group

NPI 1942524095 (916) 731-7857

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95661 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

$137.20 typical visit price

range $60.44 – $180.85

Typical copayment $34.30 (range $15.11 – $45.21)

Most-billed visit code 99204

Established Patient

$105.95 typical visit price

range $19.88 – $148.15

Typical copayment $26.48 (range $4.97 – $37.03)

Most-billed visit code 99214

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 20

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

DR. MARY PATRICIA LIST MD

Dermatology