Individual provider Active NPI

Shuang Lei, MD

  • Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1497274302
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A159635 Issued in CA
Practice address
3705 W Pico Blvd # 820
Los Angeles, CA 90019-3451
Phone
(818) 649-9123
NPI assigned
Sep 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A159635 CA Primary

Addresses

Primary practice location

3705 W Pico Blvd # 820
Los Angeles, CA 90019-3451

Mailing address

3705 W Pico Blvd # 820
Los Angeles, CA 90019-3451
Phone (818) 649-9123

Other practice location 1

23501 Cinema Dr Ste 200&210
Valencia, CA 91355-5428
Phone (661) 288-4800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shuang.lei@ventura.cernerdirect.com Direct

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
I20240926000370 CA Practitioner - Psychiatry 6406256106 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ventura CurrentSince Aug 29, 2024 Accepting new patients
County of Ventura CurrentSince Aug 29, 2024 Accepting new patients
County of Ventura Current Accepting new patients

Locations

800 S Victoria Ave
#L4640
Ventura, CA 93009

300 Hillmont Ave
Ste 401
Ventura, CA 93003
Phone (805) 648-9830

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

200 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-5755

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": "1505174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1497274302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 W PICO BLVD # 820",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900193451",
            "telephone_number": "818-649-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 W PICO BLVD # 820",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900193451",
            "telephone_number": "818-649-9123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23501 Cinema Dr Ste 200&210",
            "address_purpose": "LOCATION",
            "city": "Valencia",
            "state": "CA",
            "postal_code": "913555428",
            "country_code": "US",
            "telephone_number": "661-288-4800",
            "fax_number": "661-254-3094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEI",
        "first_name": "SHUANG",
        "name_prefix": "Miss",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-12",
        "last_updated": "2023-07-13",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A159635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shuang.lei@ventura.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Cerner Direct Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Information",
            "address_1": "300 Hillmont Ave Ste 401",
            "city": "Ventura",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930031651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.