Wellcare Medical Group

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

A85452 Issued in CA

Legal business name

WELLCARE MEDICAL GROUP

Doing business as

Wellcare LA Medical Group

Practice address

16415 S Colorado Avenue
Suite 208
Paramount, CA 90723-5054

Phone

(562) 531-0015

Fax

(562) 531-4856

NPI assigned

Oct 24, 2011

Last updated

Jan 31, 2013By 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

Dr. Richard W Lee, MDNPI 1780761353

Title

Physician

Phone

(562) 531-0015

Specialties & licenses 2

Addresses

Other names 1

• Wellcare LA Medical Group 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

Locations

Practitioners 2

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.

• Richard W Lee, MD

  • Internal Medicine Physician
  • Paramount, CA
  • NPI 1780761353

  Nephrology

  Medicare reassignment Care Compare group NPD Authorized official
• Yang W Lee, M.D.

  • Family Medicine Physician
  • Long Beach, CA
  • NPI 1326241696
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1225314107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16415 S COLORADO AVENUE",
            "address_2": "SUITE 208",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235054",
            "telephone_number": "562-531-0015",
            "fax_number": "562-531-4856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16415 S COLORADO AVENUE",
            "address_2": "SUITE 208",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235054",
            "telephone_number": "562-531-0015",
            "fax_number": "562-531-4856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLCARE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-24",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "562-531-0015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A85452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellcare LA Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Angela Lynette Williams
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• Nephrology Physician in Paramount, CA
• Providers in Paramount, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.