NPIMap

Individual provider Active NPI

Nick Lee, MD

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1598881179
Registry record updated May 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A61218 Issued in CA
Practice address
809 N Hill St
#K
Los Angeles, CA 90012-2394
Phone
(213) 346-9982
Fax
(213) 346-9735
NPI assigned
Mar 22, 2007
Last updated
May 8, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A61218 CA Primary

Addresses

Primary practice location

809 N Hill St
#K
Los Angeles, CA 90012-2394

Mailing address

809 N Hill St
#K
Los Angeles, CA 90012-2394

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
I20070831000388 CA Practitioner - Family Practice 3476646761 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York Medical College, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mommy and Me Medical Group IncGroup PAC ID 0244383727, 6 clinicians

Practice addresses (Care Compare)

228 N Garfield Ave
Suite 201
Monterey Park, CA 91754-1709
Phone (626) 280-5000

416 W Foothill Blvd
Rialto, CA 92376-4953
Phone (909) 421-0493

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A61218CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Senior's Choice Medical Group, Inc. Internal Medicine CurrentSince May 1, 2022 Accepting new patients
Singh a. Boun, MD & Nick Lee, MD, a Professional Corporation CurrentSince Mar 21, 2007 Accepting new patients
Mommy and Me Medical Group, Inc. CurrentSince May 1, 2022 Accepting new patients
Pioneers Memorial Healthcare District Past Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients
East la Paz Family Medical Clinic PA Past Accepting new patients
Reuben C Castillo, Professional Corporation Past Accepting new patients

Locations

809 N Hill St
Ste K
Los Angeles, CA 90012
Phone (213) 346-9982

228 N Garfield Ave
Ste 201
Monterey Park, CA 91754
Phone (626) 280-0676

498 W 4th St
Perris, CA 92570
Phone (951) 657-5441

416 W Foothill Blvd
Rialto, CA 92376
Phone (909) 421-0493

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: nick.lee.p2@direct.mpmccorp.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399507200000",
    "number": "1598881179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 N HILL ST",
            "address_2": "#K",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 N HILL ST",
            "address_2": "#K",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122394",
            "telephone_number": "213-346-9982",
            "fax_number": "213-346-9735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "NICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2014-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A61218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.