Individual provider Active NPI

William Ang Lee, MD

  • Internal Medicine Physician
  • Simi Valley, CA
National Provider Identifier
1619960705
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C50628 Issued in CA
Practice address
2755 Alamo St Ste 101
Simi Valley, CA 93065
Phone
(818) 726-1930
Fax
(818) 878-1563
NPI assigned
Aug 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

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 C50628 CA Primary

Addresses

Primary practice location

2755 Alamo St Ste 101
Simi Valley, CA 93065

Mailing address

2755 Alamo St Ste 101
Simi Valley, CA 93065-1311
Phone (818) 726-1930

Other practice location 1

2950 Sycamore Dr
Ste 300
Simi Valley, CA 93065-1210
Phone (805) 526-0226

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
I20050112000459 CA Practitioner - Internal Medicine 4284682659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Simi Medical Group, IncGroup PAC ID 8820351786, 3 clinicians

Practice addresses (Care Compare)

2755 Alamo St
Suite 101
Simi Valley, CA 93065-1311
Phone (805) 210-7280

Hospital & facility affiliations

  • Divine Care Home Health Services Inc Home health agency, Simi Valley, CA, CCN 058491
  • Adventist Health Simi Valley Hospital, Simi Valley, CA, CCN 050236

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C50628CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Simi Medical Group, Inc CurrentSince May 1, 2018 Accepting new patients
Simi Valley Hospital and Health Care Services Past Accepting new patients
Lakeside Medical Associates, a Medical Group, Inc. Internal Medicine Past Accepting new patients
Los Robles Regional Medical Center Past Accepting new patients
Lakeside Medical Organization, a Medical Group Inc. Internal Medicine Past Accepting new patients

Locations

2755 Alamo St
Ste 101
Simi Valley, CA 93065
Phone (805) 210-7280

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: williamang.lee.p19@direct.regal.nextgenshare.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1619960705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 ALAMO ST STE 101",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651311",
            "telephone_number": "818-726-1930",
            "fax_number": "818-878-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 ALAMO ST STE 101",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "93065",
            "telephone_number": "818-726-1930",
            "fax_number": "818-878-1563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2950 Sycamore Dr",
            "address_2": "Ste 300",
            "address_purpose": "LOCATION",
            "city": "Simi Valley",
            "state": "CA",
            "postal_code": "930651210",
            "country_code": "US",
            "telephone_number": "805-526-0226",
            "fax_number": "805-526-7092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "WILLIAM",
        "middle_name": "ANG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C50628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

Verify at the official NPI Registry.