Individual provider Active NPI

Joseph Y Lee, MD

  • Ophthalmology Physician
  • Buena Park, CA
National Provider Identifier
1558458364
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A60445 Issued in CA
Practice address
5832 Beach Blvd Unit 109a
Buena Park, CA 90621-5500
Phone
(714) 228-1888
Fax
(714) 676-8308
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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 A60445 CA Primary

Addresses

Primary practice location

5832 Beach Blvd Unit 109a
Buena Park, CA 90621-5500

Mailing address

PO Box 190
Buena Park, CA 90621-0190
Phone (714) 228-1888

Other practice location 1

505 S Virgil Ave Ste 300
Los Angeles, CA 90020-1406
Phone (213) 384-5222

Other practice location 2

19038 Norwalk Blvd
Artesia, CA 90701-7032
Phone (562) 653-9500

Other identifiers 1

IdentifierTypeStateIssuer
00A604450MedicaidCA

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
I20040413001139 CA Practitioner - Ophthalmology 6406840776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Michigan Medical School, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Medical CorporationGroup PAC ID 4981597481, 6 clinicians

Practice addresses (Care Compare)

505 S Virgil Ave
Suite 300
Los Angeles, CA 90020-1406
Phone (213) 384-5222

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A60445CAMDOphthalmology Physician

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jlee@ecmc.intellechartdirect.net

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1558458364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906210190",
            "telephone_number": "714-228-1888",
            "fax_number": "714-676-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5832 BEACH BLVD UNIT 109A",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906215500",
            "telephone_number": "714-228-1888",
            "fax_number": "714-676-8308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 S Virgil Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900201406",
            "country_code": "US",
            "telephone_number": "213-384-5222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19038 Norwalk Blvd",
            "address_purpose": "LOCATION",
            "city": "Artesia",
            "state": "CA",
            "postal_code": "907017032",
            "country_code": "US",
            "telephone_number": "562-653-9500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JOSEPH",
        "middle_name": "Y",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A60445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A604450",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

Verify at the official NPI Registry.