Don W Lee, MD, a Medical Corporation

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

A34051 Issued in CA

Legal business name

DON W LEE, MD, A MEDICAL CORPORATION

Doing business as

DBA California Cardiac Institute

Practice address

710 S Central Ave
Suite 200,210,250
Glendale, CA 91204-4609

Phone

(323) 644-9504

Fax

(323) 644-9503

NPI assigned

Jun 19, 2006

Last updated

Sep 9, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Don W Lee, M.D.NPI 1104806421

Title

President

Phone

(818) 247-0160

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• DBA California Cardiac Institute Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Don W Lee MD a Medical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Don W. Lee, M.D.

  dba California Cardiac Imaging

  • Nuclear Cardiology Physician
  • Glendale, CA
  • NPI 1902820392
  NPD tax ID

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Don W Lee, M.D.

  • Interventional Cardiology Physician
  • Glendale, CA
  • NPI 1104806421
  Medicare reassignment Care Compare group NPD Authorized official
• William Leonard Discepolo II, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Pasadena, CA
  • NPI 1932308137

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD
• Sumita Paul, MD

  • Cardiovascular Disease Physician
  • Glendale, CA
  • NPI 1710960893
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473379200000",
    "number": "1144265547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 S CENTRAL AVE",
            "address_2": "SUITE 300",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912044609",
            "telephone_number": "323-644-9504",
            "fax_number": "323-644-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S CENTRAL AVE",
            "address_2": "SUITE 200,210,250",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912044609",
            "telephone_number": "323-644-9504",
            "fax_number": "323-644-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DON W LEE, MD, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2016-09-09",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-247-0160",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A34051",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A34051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0090800",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA California Cardiac Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Judith Dominguez Calderon
• Allison Maria Dominguez
• Claudia Dominguez
• Yonatan Dominguez
• Don Mehrabi MD a Professional Medical Corporation (BHSkin Dermatology)
• Don W. Lee, M.D. (California Cardiac Imaging)
• Donald E. Teagle Optometric Corporation (Teagle Optometry)
• Donald E. Teagle, OD
• Donald J Williams MD a Professional Corporation
• Margaret Ann Donohue, PHD

• Interventional Cardiology Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Interventional Cardiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.

Verify at the official NPI Registry.