Individual provider Active NPI

Walter J Lech, M.D.

  • Phlebology Physician
  • San Jose, CA
National Provider Identifier
1215073853
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
License
A140713 Issued in CA
Practice address
1270 S Winchester Blvd Ste 102
San Jose, CA 95128-3911
Phone
(669) 201-0667
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X A140713 CA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X A140713 CA
Phlebology Physician 202K00000X A140713 CA Primary

Addresses

Primary practice location

1270 S Winchester Blvd Ste 102
San Jose, CA 95128-3911

Mailing address

1270 S Winchester Blvd Ste 102
San Jose, CA 95128-3911
Phone (669) 201-0667

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
I20171121002220 CA Practitioner - Thoracic Surgery 7810168432 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Harvard Medical School, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ellison Medical Group Vein Treatment CenterGroup PAC ID 3274898275, 10 clinicians

Practice addresses (Care Compare)

1270 S Winchester Blvd
Suite 102
San Jose, CA 95128-3911
Phone (858) 926-7878

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal229

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A140713CAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ellison Medical Group Vein Treatment Center CurrentSince Feb 27, 2021 Accepting new patients
USA Vascular Centers of Los Angeles, PC Vascular Surgery CurrentSince Jan 1, 2018 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Past Accepting new patients
Ca Vein Medical PC PastSince Dec 24, 2023 Accepting new patients
Larry & Sharon Williams Chiropractic Inc PastSince Feb 27, 2021 Accepting new patients

Locations

7677 Center Ave
Ste 310
Huntington Beach, CA 92647
Phone (669) 295-0501

4482 Barranca Pkwy
Ste 252
Irvine, CA 92604
Phone (669) 201-0667

1525 Superior Ave
Ste 202
Newport Beach, CA 92663
Phone (669) 295-0501

2248 Park Blvd
Palo Alto, CA 94306
Phone (650) 328-4411

15706 Pomerado Rd
Ste N202
Poway, CA 92064
Phone (669) 201-0667

5330 Carroll Canyon Rd
Ste 140
San Diego, CA 92121
Phone (858) 481-4888

1270 S Winchester Blvd
Ste 102
San Jose, CA 95128
Phone (408) 296-4222

12840 Riverside Dr
Ste 300A
Valley Vlg, CA 91607
Phone (323) 798-1800

244 Madison Ave
#1120
New York, NY 10016
Phone (301) 523-8458

Organizations & group practices 5

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1215073853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 S WINCHESTER BLVD STE 102",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283911",
            "telephone_number": "669-201-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 S WINCHESTER BLVD STE 102",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951283911",
            "telephone_number": "669-201-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECH",
        "first_name": "WALTER",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A140713",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "A140713",
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "CA",
            "license": "A140713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.