Active NPI
Linda S Lee, MD
- Emergency Medicine Physician
- Huntington Beach, CA
National Provider Identifier
1790797652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A91138
- Practice address
- 17772 Beach Blvd
Huntington Beach, CA 92647 - Phone
- (714) 842-1473
- NPI assigned
- Aug 12, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A91138 | CA | Primary |
Addresses
Primary practice location
17772 Beach Blvd
Huntington Beach, CA 92647
Mailing address
PO Box 10690
Westminster, CA 92685
Phone (562) 809-3554
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A911380 | 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 |
|---|---|---|---|
| 91138 | CA | MD | Pharmacist |
| A91138 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huntington Beach Medical Group | Past | Accepting new patients | |
| Acute Care Medical Group of Orange Inc | Emergency Medicine | Past | Accepting new patients |
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.
-
- Emergency Medicine Physician
- Orange, CA
- NPI 1396798690
-
- Emergency Care Clinic/Center
- Huntington Beach, CA
- NPI 1437254273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210118400000",
"number": "1790797652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10690",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "92685",
"telephone_number": "562-809-3554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17772 BEACH BLVD",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "92647",
"telephone_number": "714-842-1473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "LINDA",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-12",
"last_updated": "2008-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A91138",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A911380",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.