Organization Active NPI

Thomas C. Lee M.D. Inc.

  • Anesthesiology Physician
  • City of Industry, CA
National Provider Identifier
1679582993
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
THOMAS C. LEE M.D. INC.
Practice address
18575 Gale Ave
City of Industry, CA 91748-1340
Phone
(626) 965-3880
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Authorized official

Name
Thomas Chen Lee, M.D.NPI 1083782494
Title
President
Phone
(909) 837-9097

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X CA Primary

Addresses

Primary practice location

18575 Gale Ave
City of Industry, CA 91748-1340

Mailing address

PO Box 4259
Cerritos, CA 90703-4259
Phone (562) 407-2080

Other identifiers 2

IdentifierTypeStateIssuer
00G803280MedicaidCA
00G803283OtherCABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080129000848 CA Part B Supplier - Clinic/Group Practice 3072527415 Receives reassigned benefits from 1 practitioner
Practice locations: City of Industry, CA

National Provider Directory

National Provider Directory

Locations

20687 Amar Rd
#238
Walnut, CA 91789
Phone (909) 979-1770

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1679582993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4259",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907034259",
            "telephone_number": "562-407-2080",
            "fax_number": "562-407-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18575 GALE AVE",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917481340",
            "telephone_number": "626-965-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS C. LEE M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "CHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-837-9097",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G803280",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G803283",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in City of Industry, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.