Organization Active NPI

Ding Lei a Professional Medical Corp

  • Family Medicine Physician
  • City of Industry, CA
National Provider Identifier
1689677684
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A75815 Issued in CA
Legal business name
DING LEI A PROFESSIONAL MEDICAL CORP
Practice address
1661 Hanover Rd
Ste 101
City of Industry, CA 91748-1796
Phone
(626) 581-4298
Fax
(626) 581-4398
NPI assigned
May 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Authorized official

Name
Mrs. Lei Ding, M.D., PHDNPI 1811155500
Title
Medical Doctor
Phone
(626) 581-4298

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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X A75815 CA Primary

Addresses

Primary practice location

1661 Hanover Rd
Ste 101
City of Industry, CA 91748-1796

Mailing address

1661 Hanover Rd
Ste 101
City of Industry, CA 91748-1796
Phone (626) 581-4298

Other identifiers 1

IdentifierTypeStateIssuer
W15929OtherCAPTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040624001686 CA Part B Supplier - Clinic/Group Practice 2163408816 Receives reassigned benefits from 1 practitioner
Practice locations: City Industry, CA

National Provider Directory

National Provider Directory

Locations

1661 Hanover Rd
Ste 101
City of Industry, CA 91748
Phone (626) 581-4298

17160 Colima Rd
Ste C
Hacienda Heights, CA 91745
Phone (626) 581-7878

Interoperability endpoints

  • Direct secure messaging: leid@drding101.amazing-direct.com

Practitioners & affiliated clinicians

Practitioners 3

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": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681430400000",
    "number": "1689677684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 HANOVER RD",
            "address_2": "STE 101",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917481796",
            "telephone_number": "626-581-4298",
            "fax_number": "626-581-4398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 HANOVER RD",
            "address_2": "STE 101",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917481796",
            "telephone_number": "626-581-4298",
            "fax_number": "626-581-4398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DING LEI A PROFESSIONAL MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A",
        "authorized_official_last_name": "DING",
        "authorized_official_first_name": "LEI",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "626-581-4298",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D., PHD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A75815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "W15929",
            "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 Apr 14, 2023; 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.