Individual provider Active NPI

Stella Jieun Lee, M.D.

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1609219088
Registry record updated Jun 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A139393 Issued in CA
Practice address
1300 N Vermont Ave
Los Angeles, CA 90027
Phone
(213) 413-3000
NPI assigned
Apr 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X A139393 CA Primary

Addresses

Primary practice location

1300 N Vermont Ave
Los Angeles, CA 90027

Mailing address

1221 S Sunburst Way Apt D
Anaheim, CA 92806-5429
Phone (714) 273-3211

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
I20160818001815 CA Practitioner - Internal Medicine 8123323631 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sycamore Hill Hospitalist Medical Group IncGroup PAC ID 1951646249, 16 clinicians

Practice addresses (Care Compare)

1300 N Vermont Ave
Los Angeles, CA 90027-6098
Phone (213) 413-3000

Hospital & facility affiliations

  • Tranquil Oaks Hospice Care Hospice, West Covina, CA, CCN 751572
  • Ascendio Health Systems Inc Hospice, Ontario, CA, CCN B21641
  • Hollywood Presbyterian Medical Center Hospital, Los Angeles, CA, CCN 050063
  • Hollywood Presbyterian Medical Center Inpatient rehabilitation facility, Los Angeles, CA, CCN 05T063

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
94.47
Improvement activities
40
Cost
80.32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
139393CAMDMarriage & Family Therapist
A139393CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sera Ramadan, D.O., Inc CurrentSince Dec 1, 2024 Accepting new patients
Cedar Springs Hospitalist Medical Group, Inc. CurrentSince May 13, 2019 Accepting new patients
Sycamore Hill Hospitalist Medical Group Inc CurrentSince Dec 1, 2018 Accepting new patients

Locations

222 W Eulalia St
Ste 201
Glendale, CA 91204
Phone (213) 238-5887

1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900

1711 W Temple St
Ste 4691
Los Angeles, CA 90026
Phone (213) 238-5887

1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000

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.

Hospital & facility affiliations 3

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": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528416000000",
    "number": "1609219088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 S SUNBURST WAY APT D",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928065429",
            "telephone_number": "714-273-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90027",
            "telephone_number": "213-413-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "STELLA",
        "middle_name": "JIEUN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-16",
        "last_updated": "2018-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A139393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.