Active NPI
Stephanie Lei, M.D.
- Psychiatry Physician
- Riverside, CA
National Provider Identifier
1457640997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A123048
- Practice address
- 6833 Indiana Ave Ste 101
Riverside, CA 92506-4223 - Phone
- (657) 346-6319
- Fax
- (951) 269-4184
- NPI assigned
- Apr 5, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A123048 | CA | Primary |
Addresses
Primary practice location
6833 Indiana Ave Ste 101
Riverside, CA 92506-4223
Mailing address
101 The City Dr S BLDG 3
Orange, CA 92868-3201
Other practice location 1
101 The City Dr S Bldg 3
Orange, CA 92868-3201
Phone (714) 456-5902
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A123048 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nebula Health, P. C. | Psychiatry | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychiatry Physician
- Riverside, CA
- NPI 1770357147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707955200000",
"number": "1457640997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 THE CITY DR S BLDG 3",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6833 INDIANA AVE STE 101",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925064223",
"telephone_number": "657-346-6319",
"fax_number": "951-269-4184"
}
],
"practiceLocations": [
{
"address_1": "101 The City Dr S Bldg 3",
"address_purpose": "LOCATION",
"city": "Orange",
"state": "CA",
"postal_code": "928683201",
"country_code": "US",
"telephone_number": "714-456-5902",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEI",
"first_name": "STEPHANIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-05",
"last_updated": "2024-02-15",
"certification_date": "2024-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A123048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.