Individual provider Active NPI

Lee Valentine, M.D.

  • Emergency Medicine Physician
  • Mt Pleasant, PA
National Provider Identifier
1265492987
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD017854E Issued in PA
Practice address
508 S Church St
Mt Pleasant, PA 15666-1702
Phone
(724) 832-4626
Fax
(724) 832-4668
NPI assigned
Mar 25, 2006
Last updated
Jun 13, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD017854E PA Primary

Addresses

Primary practice location

508 S Church St
Mt Pleasant, PA 15666-1702

Mailing address

PO Box 60041
Arcadia, CA 91066-6041
Phone (626) 447-0296

Other identifiers 1

IdentifierTypeStateIssuer
0008811830019MedicaidPA

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
I20080102000651 CA Practitioner - Emergency MedicinePractitioner - Internal Medicine 3971574120 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacifica Emergency Medical AssociatesGroup PAC ID 9436058971, 7 clinicians

Practice addresses (Care Compare)

16237 Ventura Blvd
Encino, CA 91436-2201
Phone (818) 995-5351

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
90.63
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
88116CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacifica Emergency Medical Associates Emergency Medicine CurrentSince Apr 27, 2021 Accepting new patients
West Hills Emergency Medical Associates, Inc Emergency Medicine CurrentSince Mar 15, 2011 Accepting new patients
Westmoreland Emergency Medicine Specialists, PC Emergency Medicine Past Accepting new patients
Sherman Oaks Emergency Medical Associates Emergency Medicine PastSince Nov 15, 2020 Accepting new patients
Centinela Freeman Emergency Medical Associates Emergency Medicine Past Accepting new patients

Locations

16237 Ventura Blvd
Van Nuys, CA 91436
Phone (818) 995-5000

7300 Medical Ctr
West Hills, CA 91307
Phone (818) 612-8301

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213315200000",
    "number": "1265492987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60041",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910666041",
            "telephone_number": "626-447-0296",
            "fax_number": "626-447-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 S CHURCH ST",
            "city": "MT PLEASANT",
            "state": "PA",
            "postal_code": "156661702",
            "telephone_number": "724-832-4626",
            "fax_number": "724-832-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTINE",
        "first_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-25",
        "last_updated": "2008-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD017854E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008811830019",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, PA

Sources for this page

Verify at the official NPI Registry.