Individual provider Active NPI

Yiu Fun Derek Lee, M.D

  • Obstetrics & Gynecology Physician
  • Hacienda Heights, CA
National Provider Identifier
1114081981
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G81110 Issued in CA
Practice address
16388 Colima Rd Ste 206
Hacienda Heights, CA 91745-5525
Phone
(626) 369-1886
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G81110 CA Primary

Addresses

Primary practice location

16388 Colima Rd Ste 206
Hacienda Heights, CA 91745-5525

Mailing address

16388 Colima Rd Ste 206
Hacienda Heights, CA 91745-5525
Phone (626) 369-1886

Other identifiers 1

IdentifierTypeStateIssuer
00G811100MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070801000869 CA Practitioner - Obstetrics/Gynecology 5193816395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of California, Davis School of Medicine, 1993
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2440 S Hacienda Blvd
Suite 116
Hacienda Heights, CA 91745-4763
Phone (626) 369-1886

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Yiu Fun Derek Lee MD Inc Obstetrics & Gynecology CurrentSince Mar 20, 2013 Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Ahmc Whittier Hospital Medical Center LP Past Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients

Locations

2440 S Hacienda Blvd
Ste 116
Hacienda Heights, CA 91745
Phone (626) 369-1886

16388 Colima Rd
Ste 203
Hacienda Heights, CA 91745
Phone (626) 369-1866

2440 S Hacienda Blvd
Hacienda Heights, CA 91745

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1114081981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16388 COLIMA RD STE 206",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917455525",
            "telephone_number": "626-369-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16388 COLIMA RD STE 206",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917455525",
            "telephone_number": "626-369-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "YIU FUN DEREK",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G81110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G811100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hacienda Heights, CA

Sources for this page

Verify at the official NPI Registry.