Individual provider Active NPI

Gina Yoo Lee, M.D.

  • Ophthalmology Physician
  • Los Angeles, CA
National Provider Identifier
1679762074
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A103864 Issued in CA
Practice address
100 Stein PLZ
1-340
Los Angeles, CA 90095-0001
Phone
(310) 825-5000
NPI assigned
Oct 22, 2007
Last updated
Oct 28, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A103864 CA Primary

Addresses

Primary practice location

100 Stein PLZ
1-340
Los Angeles, CA 90095-0001

Mailing address

5767 W Century Blvd
Suite 400
Los Angeles, CA 90045-5631
Phone (310) 825-5000

Other identifiers 1

IdentifierTypeStateIssuer
0A1038640MedicaidCA

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
I20100715000343 CA Practitioner - Ophthalmology 4284766965 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orange Coast Eye Center IncGroup PAC ID 1355438938, 5 clinicians

Practice addresses (Care Compare)

18426 Brookhurst St
Suite 103
Fountain Valley, CA 92708-6777
Phone (714) 546-2020

Merit-based Incentive Payment System (MIPS)

Final score
93.18 of 100Reported as group
Quality
99.47
Improvement activities
40
Cost
77.98

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
103864CAMDGeneral Practice Dentistry
A103864CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clarity Eye Group Ophthalmology CurrentSince Aug 1, 2011 Accepting new patients
Orange Coast Eye Center Inc Ophthalmology CurrentSince Sep 1, 2021 Accepting new patients
Regents of the University of California Past Accepting new patients
Jules Stein Eye Institute Medical Group Past Accepting new patients

Locations

18426 Brookhurst St
Ste 103
Fountain Vly, CA 92708
Phone (714) 546-2020

19671 Beach Blvd
Ste 400
Huntington Beach, CA 92648
Phone (714) 842-0651

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288224000000",
    "number": "1679762074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD",
            "address_2": "SUITE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631",
            "telephone_number": "310-825-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STEIN PLZ",
            "address_2": "1-340",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900950001",
            "telephone_number": "310-825-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "GINA",
        "middle_name": "YOO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-22",
        "last_updated": "2010-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A103864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0A1038640",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.