Individual provider Active NPI

Wonuk Lee, M.D.

  • Rheumatology Physician
  • Santa Barbara, CA
National Provider Identifier
1386720092
Registry record updated May 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
A77205 Issued in CA
Practice address
2419 Castillo St
Santa Barbara, CA 93105-4301
Phone
(805) 682-6363
Fax
(805) 682-2287
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X A77205 CA Primary

Addresses

Primary practice location

2419 Castillo St
Santa Barbara, CA 93105-4301

Mailing address

2419 Castillo St
Santa Barbara, CA 93105-4301
Phone (805) 682-6363

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
I20031209001092 CA Practitioner - Internal MedicinePractitioner - Rheumatology 2365348430 Practice locations: Santa Barbara, CA

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gynecologic Oncology Specialists,P.C. Past Accepting new patients
Gynecologic Oncology Specialists PC Past Accepting new patients
Arthritis Institute of Santa Barbara Past Accepting new patients

Organizations & group practices 3

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241568000000",
    "number": "1386720092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 CASTILLO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054301",
            "telephone_number": "805-682-6363",
            "fax_number": "805-682-2287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2419 CASTILLO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054301",
            "telephone_number": "805-682-6363",
            "fax_number": "805-682-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "WONUK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2009-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A77205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.