Individual provider Active NPI

Lee Kuei Wen Au, M.D.

  • Family Medicine Physician
  • Palmdale, CA
National Provider Identifier
1366458317
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G88694 Issued in CA
Practice address
3333 Fulham CT
Palmdale, CA 93551-3500
Phone
(808) 280-4748
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 5149 HI
Specialist 174400000X G88694 CA
Family Medicine Physician 207Q00000X G88694 CA Primary

Addresses

Primary practice location

3333 Fulham CT
Palmdale, CA 93551-3500

Mailing address

3333 Fulham CT
Palmdale, CA 93551-3500
Phone (808) 280-4748

Other practice location 1

3601 SW 160th Ave Ste 250
Miramar, FL 33027-6314
Phone (877) 866-7123

Other identifiers 1

IdentifierTypeStateIssuer
018633-01MedicaidHI

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
I20161005002772 CA Practitioner - Family PracticePractitioner - Other (Physician)Practitioner - Peripheral Vascular DiseasePractitioner - DermatologyPractitioner - Plastic and Reconstructive Surgery 6002875242 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Dermatology, Peripheral Vascular Disease, Plastic and Reconstructive Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crescent Wound Care IncGroup PAC ID 3274914502, 29 clinicians

Practice addresses (Care Compare)

1310 W Granger Ave
Modesto, CA 95350-3911
Phone (858) 967-3070

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue455
Removal of skin lesions31
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G88694CAMDSpecialist
5149HIMDSpecialist
5149NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Crescent Wound Care Inc Family Medicine CurrentSince Aug 1, 2024 Accepting new patients
Salus Medical Services, Inc. CurrentSince Jul 11, 2016 Accepting new patients
Crescent Wound Care Inc CurrentSince Aug 1, 2024 Accepting new patients
Vohra Wound Physicians of Ca, P.C. Family Medicine CurrentSince Aug 31, 2019 Accepting new patients
Castle Medical Center Past Accepting new patients
Kapiolani Medical Center for Women & Children Past Accepting new patients
Coast Plaza Doctors Hospital Past Accepting new patients
The Queens Medical Center Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Crescent Wound Care Inc Past Accepting new patients

Locations

9028 Rose St
Bellflower, CA 90706
Phone (562) 925-4252

442 Sunset Blvd
Cherryland, CA 94541
Phone (510) 582-8311

5265 E Huntington Ave
Fresno, CA 93727
Phone (559) 251-8244

5580 La Jolla Blvd
La Jolla, CA 92037
Phone (619) 438-4119

1310 W Granger Ave
Modesto, CA 95350
Phone (209) 473-3896

1980 N Orange Grove Ave
Pomona, CA 91767
Phone (661) 435-4787

180 Promenade Cir
Ste 300
Sacramento, CA 95834
Phone (916) 352-6232

612 Main St
Soledad, CA 93960
Phone (831) 678-2462

1630 N Edison St
Stockton, CA 95204
Phone (209) 948-8762

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

Organizations & group practices 11

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1366458317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 FULHAM CT",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513500",
            "telephone_number": "808-280-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 FULHAM CT",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513500",
            "telephone_number": "808-280-4748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 SW 160th Ave Ste 250",
            "address_purpose": "LOCATION",
            "city": "Miramar",
            "state": "FL",
            "postal_code": "330276314",
            "country_code": "US",
            "telephone_number": "877-866-7123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AU",
        "first_name": "LEE",
        "middle_name": "KUEI WEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "HI",
            "license": "5149",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G88694",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G88694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018633-01",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.