Individual provider Active NPI

Sang DO Lee, DC

  • Chiropractor
  • Buena Park, CA
National Provider Identifier
1184115578
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC34089 Issued in CA
Practice address
8362 Artesia Blvd
Ste C
Buena Park, CA 90621-4177
Phone
(714) 381-1777
Fax
(714) 707-3031
NPI assigned
May 22, 2018
Last updated
Jul 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC34089 CA Primary

Addresses

Primary practice location

8362 Artesia Blvd
Ste C
Buena Park, CA 90621-4177

Mailing address

8362 Artesia Blvd
Ste C
Buena Park, CA 90621-4177
Phone (714) 381-1777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200302001787 CA Practitioner - Chiropractic 4880021955 Reassigns benefits to 1 organization
Practice locations: Buena Park, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6061 Dale St
Suite O
Buena Park, CA 90621-4158
Phone (714) 381-1777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC34089CAMDChiropractor
34089CAMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sang DO Lee Chiropractic Chiropractor CurrentSince Jul 1, 2021 Accepting new patients

Locations

6061 Dale St
Ste O
Buena Park, CA 90621
Phone (714) 381-1777

7235 Orangethorpe Ave
Buena Park, CA 90621
Phone (714) 735-9735

8362 Artesia Blvd
Ste C
Buena Park, CA 90621
Phone (714) 381-1777

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1184115578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8362 ARTESIA BLVD",
            "address_2": "STE C",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906214177",
            "telephone_number": "714-381-1777",
            "fax_number": "714-707-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8362 ARTESIA BLVD",
            "address_2": "STE C",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906214177",
            "telephone_number": "714-381-1777",
            "fax_number": "714-707-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SANG",
        "middle_name": "DO",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-22",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC34089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.