Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Thi Le, PA-C

Individual provider Primary Care Clinic/Center · NPI 1972384394

Jennifer Thi Le, PA-C is a Physician Assistant in Chula Vista, California. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2023
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

880 Third Ave
Chula Vista, CA 91911-1305
Phone: (619) 205-4585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA63815 (CA)
Primary Care Clinic/Center Taxonomy 261QP2300X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1972384394
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 11, 2023
Last updated in NPPESAugust 23, 2025
Certification dateAugust 23, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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