Individual provider Active NPI

Yu-Hsiang Sam Lee, D.O.

  • Family Medicine Physician
  • Monterey Park, CA
National Provider Identifier
1245262013
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A12321 Issued in CA
Practice address
600 N Garfield Ave
Suite 100
Monterey Park, CA 91754-1166
Phone
(626) 927-9915
Fax
(626) 927-9935
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2008017351 MO
Family Medicine Physician 207Q00000X 20A12321 CA Primary

Addresses

Primary practice location

600 N Garfield Ave
Suite 100
Monterey Park, CA 91754-1166

Mailing address

600 N Garfield Ave
Suite 100
Monterey Park, CA 91754-1166
Phone (626) 927-9915

Other identifiers 3

IdentifierTypeStateIssuer
200602380AMedicaidKS
1245262013MedicaidMO
P00714623OtherMORR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090527000197 MO Practitioner - Family Practice 1759430580 Reassigns benefits to 1 organization
I20140131000939 CA Practitioner - Family Practice 1759430580 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Monterey Park, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Careconnectmd Ca PCGroup PAC ID 5496178055, 30 clinicians

Practice addresses (Care Compare)

3090 Bristol St
Suite 200
Costa Mesa, CA 92626-3061
Phone (888) 789-9585

600 N Garfield Ave
Monterey Park, CA 91754-1167
Phone (626) 927-9915

Hospital & facility affiliations

  • New Beginnings Home Health Care, Inc Home health agency, Encino, CA, CCN 059004
  • Sunrise Home Health Inc. Home health agency, Burbank, CA, CCN 059627
  • Harvard Pro Home Health, Inc. Home health agency, Glendale, CA, CCN 757787
  • Dignity Home Health, Inc Home health agency, Encino, CA, CCN 553143
  • Advance Home Health Services, Inc Home health agency, Alhambra, CA, CCN 557791
  • Garfield Medical Center Hospital, Monterey Park, CA, CCN 050737

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A12321CAMDFamily Medicine Physician
2008017351MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bothwell Regional Health Center Current Accepting new patients
Careconnectmd Ca PC Family Medicine CurrentSince Apr 5, 2023 Accepting new patients
Bothwell Regional Health Center Family Medicine CurrentSince Dec 18, 2017 Accepting new patients
Bothwell Regional Health Center General Practice CurrentSince Dec 18, 2017 Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients
Midwest Doctors Group, LLC Past Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients
Ysl Family Medicine Family Medicine PastSince Jun 30, 2014 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

601 E 14th St
Sedalia, MO 65301
Phone (660) 826-8833

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: yu-hsiang.lee@16076113707012.direct.elationemr.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 8

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1245262013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N GARFIELD AVE",
            "address_2": "SUITE 100",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541166",
            "telephone_number": "626-927-9915",
            "fax_number": "626-927-9935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N GARFIELD AVE",
            "address_2": "SUITE 100",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541166",
            "telephone_number": "626-927-9915",
            "fax_number": "626-927-9935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "YU-HSIANG",
        "middle_name": "SAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2008017351",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A12321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200602380A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245262013",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00714623",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

Verify at the official NPI Registry.