Active NPI
Brandon Lee
- Certified Registered Nurse Anesthetist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4084
- Practice address
- 1401 S Grand Ave
Los Angeles, CA 90015-3010 - Phone
- (213) 748-2411
- NPI assigned
- Sep 16, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4084 | CA | Primary |
Addresses
Primary practice location
1401 S Grand Ave
Los Angeles, CA 90015-3010
Mailing address
2090 S Harvard Blvd
Los Angeles, CA 90018-1615
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
115 Mall Dr
Hanford, CA 93230-5786
Phone (559) 582-9000
Hospital & facility affiliations
- Adventist Health Tulare
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of Tennessee, P.C. | Current | Accepting new patients | |
| American Anesthesiology of Tennessee, P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Comfort Anesthesia Associates Inc | Current | Accepting new patients | |
| Golden State Anesthesia Consultants, Inc. | Past | Accepting new patients |
Locations
2635 G St
Bakersfield, CA 93301
Phone (661) 633-1500
2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545
115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550
465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886
372 W Cypress Ave
Reedley, CA 93654
Phone (559) 391-3110
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
103 W Stone Dr
Kingsport, TN 37660
Phone (423) 224-4050
9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Bakersfield, CA
- NPI 1043466550
-
- Anesthesiology Physician
- Knoxville, TN
- NPI 1609822998
-
- Certified Registered Nurse Anesthetist
- Knoxville, TN
- NPI 1245279777
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Pasadena, CA
- NPI 1275863599
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tulare, CA
- NPI 1801366711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316131200000",
"number": "1013299825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2090 S HARVARD BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900181615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 S GRAND AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900153010",
"telephone_number": "213-748-2411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "BRANDON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-16",
"last_updated": "2011-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "4084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.