Organization Active NPI

Lee Podiatry Group of Arcadia, Inc.

  • Podiatrist
  • Arcadia, CA
National Provider Identifier
1699843524
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E4038 Issued in CA
Legal business name
LEE PODIATRY GROUP OF ARCADIA, INC.
Practice address
624 W Duarte Rd Ste 105
Arcadia, CA 91007-9256
Phone
(626) 446-1740
Fax
(626) 446-6287
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Authorized official

Name
Kadie Lee
Title
Office Manager
Phone
(626) 446-1740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X E4038 CA Primary

Addresses

Primary practice location

624 W Duarte Rd Ste 105
Arcadia, CA 91007-9256

Mailing address

624 W Duarte Rd Ste 105
Arcadia, CA 91007-9256
Phone (626) 446-1740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070321000457 CA Part B Supplier - Clinic/Group Practice 1153424601 Receives reassigned benefits from 2 practitioners
Practice locations: Arcadia, CA
O20150706001016 CA DME Supplier - Physician - Podiatry 1153424601 Practice locations: Arcadia, CA

National Provider Directory

National Provider Directory

Locations

650 W Duarte Rd
Ste 104
Arcadia, CA 91007
Phone (626) 446-1740

650 W Duarte Rd
Ste 105
Arcadia, CA 91007
Phone (626) 446-1740

711 W College St
Ste 530
Los Angeles, CA 90012
Phone (213) 617-2923

Practitioners & affiliated clinicians

Practitioners 4

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": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1699843524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 W DUARTE RD STE 105",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910079256",
            "telephone_number": "626-446-1740",
            "fax_number": "626-446-6287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 W DUARTE RD STE 105",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910079256",
            "telephone_number": "626-446-1740",
            "fax_number": "626-446-6287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE PODIATRY GROUP OF ARCADIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KADIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "626-446-1740"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.