Individual provider Active NPI

Winnie W Lee, M.D.

  • Surgery Physician
  • Calabasas, CA
National Provider Identifier
1023028776
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
C142547 Issued in CA
Practice address
26787 Agoura Rd Ste E8
Calabasas, CA 91302-2973
Phone
(818) 564-4332
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 036116715 IL
Surgery Physician 208600000X C142547 CA Primary

Addresses

Primary practice location

26787 Agoura Rd Ste E8
Calabasas, CA 91302-2973

Mailing address

665 Vernon Ave
Venice, CA 90291-2736
Phone (917) 371-2771

Other practice location 1

227 W Janss Rd
Suite 340
Thousand Oaks, CA 91360-1848
Phone (805) 852-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C142547CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prairie Cardiovascular Consultants LTD PastSince Sep 1, 2022 Accepting new patients
Cardiothoracic Surgery Associates, P.C. Thoracic Surgery (Cardiothoracic Vascular Surgery) PastSince Jul 15, 1996 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1023028776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 VERNON AVE",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902912736",
            "telephone_number": "917-371-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26787 AGOURA RD STE E8",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913022973",
            "telephone_number": "818-564-4332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "227 W Janss Rd",
            "address_2": "Suite 340",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913601848",
            "country_code": "US",
            "telephone_number": "805-852-9100",
            "fax_number": "805-852-9101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "WINNIE",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2021-04-01",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IL",
            "license": "036116715",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "C142547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calabasas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.