Individual provider Active NPI

Lee R. Weiss, M.D.

  • Emergency Medicine Physician
  • Inglewood, CA
National Provider Identifier
1780662403
Registry record updated Jan 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G87130 Issued in CA
Practice address
555 E Hardy St
Inglewood, CA 90301-4011
Phone
(310) 419-8636
Fax
(310) 963-0403
NPI assigned
Jan 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35.054529 OH
Emergency Medicine Physician 207P00000X G87130 CA Primary

Addresses

Primary practice location

555 E Hardy St
Inglewood, CA 90301-4011

Mailing address

PO Box 661297
Arcadia, CA 91066-1297
Phone (626) 447-0296

Other identifiers 1

IdentifierTypeStateIssuer
00G871300MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NM, HI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20061212000635 CA Practitioner - Emergency Medicine 7416851373 Reassigns benefits to 7 organizations
I20150423001201 NM Practitioner - Emergency Medicine 7416851373 Reassigns benefits to 1 organization
I20180906000426 HI Practitioner - Emergency Medicine 7416851373 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
State University of Ny Upstate Medical University, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maui Memorial Emergency Medical Associates IncGroup PAC ID 7618224981, 23 clinicians

Practice addresses (Care Compare)

221 Mahalani St
Wailuku, HI 96793-2526
Phone (808) 244-9056

Merit-based Incentive Payment System (MIPS)

Final score
91.89 of 100Reported as group
Quality
78.69
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G87130CAMDEmergency Medicine Physician
35.054529OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lanai Emergency Medical Associates Inc Emergency Medicine CurrentSince Sep 1, 2018 Accepting new patients
San Dimas Emergency Medical Associates Inc. Emergency Medicine CurrentSince Jan 1, 2009 Accepting new patients
Los Alamos Emergency Medical Associates Inc Emergency Medicine CurrentSince Mar 23, 2015 Accepting new patients
Beach Emergency Medical Associates Emergency Medicine CurrentSince Nov 13, 2006 Accepting new patients
Hollywood Presbyterian Emergency Medical Associates, Inc. Emergency Medicine CurrentSince Apr 1, 2010 Accepting new patients
Centinela Freeman Emergency Medical Associates, Inc. Emergency Medicine CurrentSince Oct 1, 2012 Accepting new patients
Telemedicine365 Inc Emergency Medicine CurrentSince Dec 1, 2020 Accepting new patients
Corona Regional Emergency Medical Associates Inc Emergency Medicine CurrentSince Mar 1, 2018 Accepting new patients
Maui Memorial Emergency Medical Associates Inc Emergency Medicine CurrentSince Jul 7, 2018 Accepting new patients
Pacific Coast Emergency Medical Associates, Inc Emergency Medicine CurrentSince Jul 1, 2014 Accepting new patients
West Hills Emergency Medical Associates, Inc Emergency Medicine CurrentSince Jul 1, 2009 Accepting new patients
County of Los Angeles Past Accepting new patients
Max Franklin Lebow, a Medical Corporation Emergency Medicine Past Accepting new patients
Connecticut Em-1 Medical Services, PC Emergency Medicine Past Accepting new patients
Alvarado Emergency Medical Associates, Inc. Emergency Medicine PastSince Aug 7, 2022 Accepting new patients
Hoboken Emergency Physicians, PC Emergency Medicine Past Accepting new patients
Essex Emergency Physicians, PC Emergency Medicine Past Accepting new patients

Locations

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

17772 Beach Blvd
Huntington Beach, CA 92647
Phone (714) 842-1473

555 E Hardy St
Inglewood, CA 90301
Phone (310) 419-8636

2776 Pacific Ave
Long Beach, CA 90806
Phone (562) 595-1911

1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000

1350 W Covina Blvd
San Dimas, CA 91773
Phone (909) 394-2745

7300 Medical Ctr
West Hills, CA 91307
Phone (818) 612-8301

221 Mahalani St
Wailuku, HI 96793
Phone (808) 242-2290

3917 West Rd
Los Alamos, NM 87544
Phone (505) 661-9584

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231977600000",
    "number": "1780662403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 661297",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910661297",
            "telephone_number": "626-447-0296",
            "fax_number": "626-447-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E HARDY ST",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014011",
            "telephone_number": "310-419-8636",
            "fax_number": "310-963-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "LEE",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2009-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.054529",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G87130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G871300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

Verify at the official NPI Registry.