Active NPI
Shiu Man Lee, M.D.
- Internal Medicine Physician
- Oxnard, CA
National Provider Identifier
1144397555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G072713
- Practice address
- 613 South C Street
Oxnard, CA 93030 - Phone
- (805) 486-1914
- NPI assigned
- Nov 29, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G072713 | CA | Primary |
Addresses
Primary practice location
613 South C Street
Oxnard, CA 93030
Mailing address
613 South C Street
Oxnard, CA 93030
Phone (805) 486-1914
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G727130 | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| G072713 | CA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281312000000",
"number": "1144397555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "613 SOUTH C STREET",
"city": "OXNARD",
"state": "CA",
"postal_code": "93030",
"telephone_number": "805-486-1914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613 SOUTH C STREET",
"city": "OXNARD",
"state": "CA",
"postal_code": "93030",
"telephone_number": "805-486-1914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SHIU MAN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2010-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G072713",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G727130",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oxnard, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.