Larisse Lee MD PC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

LARISSE LEE MD PC

Doing business as

L.A. Vein Center

Practice address

4955 Van Nuys Blvd
Suite 704
Sherman Oaks, CA 91403

Phone

(818) 325-0400

Fax

(818) 325-0404

NPI assigned

Dec 4, 2011

Last updated

Dec 3, 2019By 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. Larisse Katherine Lee, M.D.NPI 1124282645

Title

MD & President

Phone

(818) 325-0400

Specialties & licenses 1

Addresses

Other names 1

• L.A. Vein Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5843/brand/1/csg/1/fhir/r4

Practitioners 1

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.

• Larisse K Lee, M.D.

  • Vascular Surgery Physician
  • Sherman Oaks, CA
  • NPI 1124282645
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1322956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575331200000",
    "number": "1376811406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4955 VAN NUYS BLVD",
            "address_2": "SUITE 704",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "91403",
            "telephone_number": "818-325-0400",
            "fax_number": "818-325-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 VAN NUYS BLVD",
            "address_2": "SUITE 704",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "91403",
            "telephone_number": "818-325-0400",
            "fax_number": "818-325-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARISSE LEE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-04",
        "last_updated": "2019-12-03",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "LARISSE",
        "authorized_official_middle_name": "KATHERINE",
        "authorized_official_title_or_position": "MD & PRESIDENT",
        "authorized_official_telephone_number": "818-325-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "L.A. Vein Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "L.A. Vein Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natasha Langhans, M.A., MFT
• Krista Lanphear
• Stephanie Lapedis, M.S. CCC-SLP
• Lanelle N Lapig
• Princess A Lara
• Cierra Paige Larke
• Stephanie Dee Larro, LCSW
• Larry Hamer, D.D.S. (Southern Calidornia Dental Group)
• Larry Hamer, D.D.S. Prof Corp
• Isabelle Hope Larson

• Vascular Surgery Physician in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.