Active NPI
Faye Lee, M.D.
- Cardiovascular Disease Physician
- Los Angeles, CA
National Provider Identifier
1710075270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- G39905
- Practice address
- 1245 Wilshire Blvd
812
Los Angeles, CA 90017-4810 - Phone
- (213) 481-2222
- Fax
- (213) 481-2416
- NPI assigned
- Oct 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | G39905 | CA | Primary |
Addresses
Primary practice location
1245 Wilshire Blvd
812
Los Angeles, CA 90017-4810
Mailing address
1245 Wilshire Blvd
812
Los Angeles, CA 90017-4810
Phone (213) 481-2222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G399050 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39905 | CA | MD | General Practice Dentistry |
| G39905 | CA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pih Health Good Samaritan Hospital | Past | Accepting new patients | |
| Dignity Community Care | Past | Accepting new patients |
Interoperability endpoints
- fayelee@fayelee.officeally.direct
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1114081056
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1508859323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710075270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1245 WILSHIRE BLVD",
"address_2": "812",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900174810",
"telephone_number": "213-481-2222",
"fax_number": "213-481-2416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 WILSHIRE BLVD",
"address_2": "812",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900174810",
"telephone_number": "213-481-2222",
"fax_number": "213-481-2416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "FAYE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "G39905",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G399050",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.