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ETHAN LE PA-C
NPI 1891541066
Physician Assistant in Santa Ana, CA

Active since April 27, 2024PECOS EnrolledAccepts Medicare Assignment
714 S HARBOR BLVD STE A, SANTA ANA, CA 92704(714) 714-0016(714) 486-3744 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 19, 2024, Apr 27, 2024 (2 updates tracked since 2024).

About Ethan Le Pa-c NPPES

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

ETHAN LE PA-C (NPI 1891541066) is an individual physician assistant in Santa Ana, California and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fountain Valley, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1891541066
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameETHAN LECredential: PA-C
Location Address714 S HARBOR BLVD STE ASanta Ana, CA 92704-2337
Mailing Address714 S Harbor Blvd Ste ASanta Ana, CA 92704-2337 · (714) 714-0016 · Fax (714) 486-3744
Phone(714) 714-0016
Fax(714) 486-3744
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 27, 2024
Last NPPES UpdateJanuary 27, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2025
✔ NPI 1891541066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
714 S HARBOR BLVD STE A, Santa Ana, CA 92704
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Secondary Practice Location 1

Location 116038 Newhope WayFountain Valley, CA 92708-1704 · Phone (714) 548-2955

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ethan Le Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID446777627
PECOS Enrollment IDI20250512000509
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 92704 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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

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

MR. DON NGUYEN PA-C
Physician Assistant
714 S HARBOR BLVD STE A
SANTA ANA, CA 92704
Orange County (714) 714-0016

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 Ethan Le's NPI number?

The NPI number for Ethan Le is 1891541066. It was assigned to this individual provider in the NPPES registry on April 27, 2024.

Where is Ethan Le located?

Ethan Le practices at 714 S Harbor Blvd Ste A, Santa Ana, CA 92704. The listed phone number is (714) 714-0016.

What is Ethan Le's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ethan Le enrolled in Medicare?

Yes. Ethan Le is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ethan Le was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.