Individual provider Active NPI

Tonny M Lee, M.D.

  • Gastroenterology Physician
  • Torrance, CA
National Provider Identifier
1639118748
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A68665 Issued in CA
Practice address
23456 Hawthorne Blvd Ste 300
Torrance, CA 90505-4716
Phone
(310) 539-2055
Fax
(310) 530-3263
NPI assigned
Jun 5, 2006
Last updated
Jun 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A68665 CA Primary

Addresses

Primary practice location

23456 Hawthorne Blvd Ste 300
Torrance, CA 90505-4716

Mailing address

23456 Hawthorne Blvd Ste 300
Torrance, CA 90505-4716
Phone (310) 539-2055

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
I20090929000147 CA Practitioner - Gastroenterology 1759437015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Northwestern University Feinberg Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Bay Gastroenterology Medical GroupGroup PAC ID 4183651375, 12 clinicians

Practice addresses (Care Compare)

23456 Hawthorne Blvd
Suite 300
Torrance, CA 90505-4716
Phone (310) 539-2055

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy181
Upper gastrointestinal (GI) endoscopy for acid reflux150

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A68665CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Bay Gastroenterology Medical Group Gastroenterology CurrentSince Aug 1, 2003 Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients
Southern California Hospitalist Network Medical Group Inc Past Accepting new patients

Locations

23456 Hawthorne Blvd
Ste 300
Torrance, CA 90505
Phone (310) 316-6190

23560 Madison St
Ste 109
Torrance, CA 90505
Phone (310) 325-6331

23600 Telo Ave
Ste 260
Torrance, CA 90505
Phone (310) 539-2055

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1639118748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23456 HAWTHORNE BLVD STE 300",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054716",
            "telephone_number": "310-539-2055",
            "fax_number": "310-530-3263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23456 HAWTHORNE BLVD STE 300",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054716",
            "telephone_number": "310-539-2055",
            "fax_number": "310-530-3263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "TONNY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A68665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.