Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Caroline Marie Thuy Nhu Dong Le, PA-C

Individual provider Medical Physician Assistant · NPI 1174126080

Caroline Marie Thuy Nhu Dong Le, PA-C is a Physician Assistant in Pomona, California. Qualified in 2020, 6 years ago. Practices with Scott C Lederhaus MD and Lew B Disney MD Prt Lederhaus Scott C Gen Ptr, a 14-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

255 E Bonita Ave Bldg 9
Pomona, CA 91767-1923
Phone: (909) 450-0369
Fax: (909) 450-0366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 59469 (CA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 59469 (CA)

Record details

NPI number1174126080
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 21, 2020
Last updated in NPPESApril 21, 2025
Certification dateApril 21, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Scott C Lederhaus Md And Lew B Disney Md Prt Lederhaus Scott C Gen Ptr — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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