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

Susan Le

Individual provider Family Nurse Practitioner · NPI 1366336836

Susan Le is a Nurse Practitioner in Lodi, California. Qualified in 2024, 2 years ago. Practices with Adventist Health Physicians Network, a 632-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2025
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Practice location Address checks out

621 S Ham Ln Ste A
Lodi, CA 95242-3533
Phone: (209) 334-8514
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95035271 (CA)

Record details

NPI number1366336836
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 7, 2025
Last updated in NPPESAugust 13, 2025
Certification dateAugust 13, 2025
Mailing address9869 Sao Vicente Way, Elk Grove, CA 95757-6334

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Adventist Health Physicians Network — 632 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Lodi