Individual provider Active NPI

Kevin Ka Yung Lee

  • Urology Physician
  • Monterey Park, CA
National Provider Identifier
1457641870
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
142519 Issued in CA
Practice address
600 N Garfield Ave Ste 308
Monterey Park, CA 91754-1169
Phone
(626) 288-0889
Fax
(626) 288-1129
NPI assigned
Apr 19, 2011
Last updated
Feb 23, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 142519 CA Primary

Addresses

Primary practice location

600 N Garfield Ave Ste 308
Monterey Park, CA 91754-1169

Mailing address

600 N Garfield Ave Ste 308
Monterey Park, CA 91754-1169
Phone (626) 288-0889

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
I20240305004053 CA Practitioner - Urology 6406175421 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
George Washington University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sherif Aboseif MD IncGroup PAC ID 0648308346, 3 clinicians
Genesis Healthcare Partners PCGroup PAC ID 2163606807, 232 clinicians

Practice addresses (Care Compare)

1901 Holser Walk
Suite 310
Oxnard, CA 93036-2633
Phone (805) 973-5902

9850 Genesee Ave
Suite 440
La Jolla, CA 92037-1212
Phone (858) 453-5944

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.79 of 100Reported as group
Quality
91.79
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
142519CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sherif Aboseif MD Inc Urology CurrentSince Feb 20, 2024 Accepting new patients
Los Robles Regional Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients
Mercy Hospital Joplin Past Accepting new patients

Locations

2486 N Ponderosa Dr
Ste 202
Camarillo, CA 93010

600 N Garfield Ave
Ste 308
Monterey Park, CA 91754
Phone (626) 288-0889

1901 Holser Walk
Ste 310
Oxnard, CA 93036
Phone (805) 973-5902

Interoperability endpoints

  • Direct secure messaging: kevin.lee@57863765426180.direct.elationemr.com
  • Direct secure messaging: kevinlee@saboseif.medalliesdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1303171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1457641870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N GARFIELD AVE STE 308",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541169",
            "telephone_number": "626-288-0889",
            "fax_number": "626-288-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N GARFIELD AVE STE 308",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541169",
            "telephone_number": "626-288-0889",
            "fax_number": "626-288-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KEVIN",
        "middle_name": "KA YUNG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-19",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "142519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

Verify at the official NPI Registry.