Individual provider Active NPI

Cindy Lee, MD

  • Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1760616098
Registry record updated May 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A106312 Issued in CA
Practice address
1510 San Pablo St Ste 514
Los Angeles, CA 90033-5324
Phone
(323) 442-5910
NPI assigned
May 14, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A106312 CA Primary

Addresses

Primary practice location

1510 San Pablo St Ste 514
Los Angeles, CA 90033-5324

Mailing address

2929 Waverly Dr Apt 206
Los Angeles, CA 90039-2033
Phone (323) 244-6769

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
I20150723008281 CA Practitioner - General Surgery 3274761358 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Southern California Keck School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orange County Emergency Surgical Specialists, IncGroup PAC ID 1355410754, 5 clinicians
Western Medical Center Trauma Group IncGroup PAC ID 9739120551, 6 clinicians

Practice addresses (Care Compare)

999 N Tustin Ave
Suite 109
Santa Ana, CA 92705-6501
Phone (714) 954-1182

Hospital & facility affiliations

  • Orange County Global Medical Center Hospital, Santa Ana, CA, CCN 050746

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
106312CAMDGeneral Practice Dentistry
A106312CAMDSurgery Physician

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.

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": "1242259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242259200000",
    "number": "1760616098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 WAVERLY DR APT 206",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900392033",
            "telephone_number": "323-244-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 SAN PABLO ST STE 514",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900335324",
            "telephone_number": "323-442-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CINDY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-14",
        "last_updated": "2009-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A106312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.