Individual provider Active NPI

Richard W Lee, MD

  • Nephrology Physician
  • Paramount, CA
National Provider Identifier
1780761353
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A85452 Issued in CA
Practice address
16415 Colorado Ave Ste 208
Paramount, CA 90723-5054
Phone
(562) 531-0015
Fax
(562) 531-4856
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A85452 CA Primary

Addresses

Primary practice location

16415 Colorado Ave Ste 208
Paramount, CA 90723-5054

Mailing address

16415 Colorado Ave Ste 208
Paramount, CA 90723-5054
Phone (562) 531-0015

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
I20040723000674 CA Practitioner - NephrologyPractitioner - Internal Medicine 3870573496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Northwestern University Feinberg Medical School, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellcare Medical GroupGroup PAC ID 3072789981, 2 clinicians

Practice addresses (Care Compare)

16415 Colorado Ave
Suite 208
Paramount, CA 90723-5054
Phone (562) 531-0015

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellcare Medical Group Nephrology CurrentSince Oct 15, 2011 Accepting new patients
University of California Irvine Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients

Locations

5981 Atlantic Ave
Long Beach, CA 90805
Phone (562) 243-1424

3801 Katella Ave
Ste 225
Los Alamitos, CA 90720
Phone (213) 594-6995

3751 Katella Ave
Los Alamitos, CA 90720
Phone (562) 799-3160

16415 Colorado Ave
Ste 208
Paramount, CA 90723
Phone (562) 531-0015

1661 Golden Rain Rd
Seal Beach, CA 90740
Phone (562) 493-9581

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rlee108678@direct.memorialcare.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273017600000",
    "number": "1780761353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16415 COLORADO AVE STE 208",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235054",
            "telephone_number": "562-531-0015",
            "fax_number": "562-531-4856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16415 COLORADO AVE STE 208",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235054",
            "telephone_number": "562-531-0015",
            "fax_number": "562-531-4856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "RICHARD",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A85452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramount, CA

Sources for this page

Verify at the official NPI Registry.