NPIMap

Individual provider Active NPI

Bryan Lee, MD, JD

  • Ophthalmology Physician
  • Los Altos, CA
National Provider Identifier
1437336609
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
136126 Issued in CA
Practice address
762 Altos Oaks Dr
Ste 1
Los Altos, CA 94024-5434
Phone
(650) 948-9123
Fax
(650) 948-0563
NPI assigned
Jan 30, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 136126 CA Primary

Addresses

Primary practice location

762 Altos Oaks Dr
Ste 1
Los Altos, CA 94024-5434

Mailing address

831 Warner CT
Mountain View, CA 94043-2351
Phone (857) 928-3657

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150720001781 CA Practitioner - Ophthalmology 5991973570 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Washington University School of Medicine, 2007
Medicare assignment
May accept Medicare assignment
Group practices
David F Chang M D IncGroup PAC ID 8224164074, 2 clinicians

Practice addresses (Care Compare)

762 Altos Oaks Dr
Suite 1
Los Altos, CA 94024-5435
Phone (650) 948-9123

Hospital & facility affiliations

  • El Camino Health Hospital, Mountain View, CA, CCN 050308

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery675

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
136126CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David F. Chang MD Inc Ophthalmology CurrentSince May 11, 2015 Accepting new patients
Bryan S. Lee MD Inc. Ophthalmology CurrentSince Jun 9, 2017 Accepting new patients
Harborview Meical Center Past Accepting new patients
El Camino Hospital Past Accepting new patients
County of Santa Clara Past Accepting new patients
University of Washington Past Accepting new patients
Seattle Children'S Hospital Past Accepting new patients

Locations

762 Altos Oaks Dr
Los Altos, CA 94024
Phone (650) 948-9123

762 Altos Oaks Dr
Ste 1
Los Altos, CA 94024
Phone (650) 948-6506

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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 3

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": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450224000000",
    "number": "1437336609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 WARNER CT",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940432351",
            "telephone_number": "857-928-3657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 ALTOS OAKS DR",
            "address_2": "STE 1",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940245434",
            "telephone_number": "650-948-9123",
            "fax_number": "650-948-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "MD, JD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-30",
        "last_updated": "2015-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "136126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

Verify at the official NPI Registry.