NPIMap

Organization Active NPI

Ventura Anesthesia Medical Group

  • Anesthesiology Physician
  • Ventura, CA
National Provider Identifier
1164465159
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
VENTURA ANESTHESIA MEDICAL GROUP
Practice address
147 N Brent St
Ventura, CA 93003-2809
Phone
(805) 652-5044
Fax
(805) 650-9657
NPI assigned
Jun 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Authorized official

Name
Dr. Kee Y. Lee, M.D.NPI 1508886771
Title
Partner
Phone
(310) 440-3131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

147 N Brent St
Ventura, CA 93003-2809

Mailing address

11999 San Vicente Blvd
#440
Los Angeles, CA 90049-5042
Phone (310) 440-3131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040518000863 CA Part B Supplier - Clinic/Group Practice 0648260836 Receives reassigned benefits from 49 practitioners
Practice locations: Ventura, CA; Westlake Village, CA; Thousand Oaks, CA; Camarillo, CA; Encino, CA; Santa Barbara, CA

National Provider Directory

National Provider Directory

Locations

3525 Loma Vista Rd
Ste B
Ventura, CA 93003
Phone (805) 232-3800

3805 Telegraph Rd
#A
Ventura, CA 93003
Phone (805) 648-6891

Practitioners & affiliated clinicians

Practitioners 50

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.

View all 50

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1164465159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11999 SAN VICENTE BLVD",
            "address_2": "#440",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495042",
            "telephone_number": "310-440-3131",
            "fax_number": "310-472-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 N BRENT ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032809",
            "telephone_number": "805-652-5044",
            "fax_number": "805-650-9657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENTURA ANESTHESIA MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KEE",
        "authorized_official_middle_name": "Y.",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "310-440-3131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.