Active NPI
Thomas C. Lee M.D. Inc.
- Anesthesiology Physician
- City of Industry, CA
National Provider Identifier
1679582993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Chen Lee, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G803280 | Medicaid | CA | |
| 00G803283 | Other | CA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Anesthesiology Physician
- Whittier, CA
- NPI 1083782494
-
- Anesthesiology Physician
- Alhambra, CA
- NPI 1023162765
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.