Individual provider Active NPI

Fenglaly C Lee, MD

  • Obstetrics & Gynecology Physician
  • Fresno, CA
National Provider Identifier
1730239682
Registry record updated Dec 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A90450 Issued in CA
Practice address
2944 Fresno St
Fresno, CA 93721-1405
Phone
(559) 497-7900
Fax
(559) 497-6901
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A90450 CA Primary

Addresses

Primary practice location

2944 Fresno St
Fresno, CA 93721-1405

Mailing address

3812 N 1St St
Fresno, CA 93726-4301
Phone (559) 495-3120

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidCA

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
I20080415000195 CA Practitioner - Obstetrics/Gynecology 8729166822 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of California, San Francisco School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omni Womens Health Medical Group IncGroup PAC ID 4082606009, 4 clinicians

Practice addresses (Care Compare)

3812 N 1St St
Fresno, CA 93726-4301
Phone (559) 495-3120

Hospital & facility affiliations

  • Community Regional Medical Center Hospital, Fresno, CA, CCN 050060

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A90450CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central California Faculty Medical Group, Inc. Current Accepting new patients
Omni Womens Health Medical Group Inc Current Accepting new patients
Omni Women'S Health Medical Group, Inc CurrentSince Jan 28, 2008 Accepting new patients
Central California Faculty Medical Group, Inc. Obstetrics & Gynecology CurrentSince Dec 1, 2024 Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Southern California Healthcare System, Inc Past Accepting new patients

Locations

1530 Shaw Ave
Clovis, CA 93611
Phone (559) 323-9133

2137 Herndon Ave
Ste 102
Clovis, CA 93611
Phone (559) 466-7100

2210 E Illinois Ave
Ste 201
Fresno, CA 93701
Phone (559) 266-2496

2944 Fresno St
Fresno, CA 93721
Phone (559) 497-7900

2335 E Kashian Ln
Ste 410
Fresno, CA 93701
Phone (559) 266-4100

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

2335 E Kashian Ln
Ste 240
Fresno, CA 93701
Phone (559) 320-0545

2550 Merced St
Fresno, CA 93721
Phone (209) 233-2116

290 N Wayte Ln
Fresno, CA 93701
Phone (559) 459-4101

3812 N 1st St
Fresno, CA 93726
Phone (559) 226-2722

2210 E Illinois Ave
Ste 101
Fresno, CA 93701
Phone (559) 459-6555

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387324800000",
    "number": "1730239682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3812 N 1ST ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937264301",
            "telephone_number": "559-495-3120",
            "fax_number": "559-495-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2944 FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211405",
            "telephone_number": "559-497-7900",
            "fax_number": "559-497-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "FENGLALY",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2013-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A90450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.