Individual provider Active NPI

Leslie Lee, M.D.

  • Internal Medicine Physician
  • Alhambra, CA
National Provider Identifier
1790830156
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A61152 Issued in CA
Practice address
150 S Raymond Ave
Alhambra, CA 91801-3166
Phone
(626) 300-0008
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A61152 CA Primary

Addresses

Primary practice location

150 S Raymond Ave
Alhambra, CA 91801-3166

Mailing address

150 S Raymond Ave
Alhambra, CA 91801-3166
Phone (626) 300-0008

Other identifiers 1

IdentifierTypeStateIssuer
00A611520MedicaidCA

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
I20040216001016 CA Practitioner - Internal Medicine 2567357973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Un of California, Irvine, College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

150 S Raymond Ave
Alhambra, CA 91801-3166
Phone (626) 300-0191

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A61152CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Leslie Lee, M.D., a Professional Medical Corporation Internal Medicine CurrentSince Jul 6, 1998 Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients
Alhambra Hospital Medical Center, LP Past Accepting new patients

Locations

150 S Raymond Ave
Alhambra, CA 91801
Phone (626) 300-0008

103 N Garfield Ave
Ste E
Alhambra, CA 91801
Phone (626) 300-0191

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: leslielee@llm.ssdirect.aprima.com

Organizations & group practices 3

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1790830156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S RAYMOND AVE",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013166",
            "telephone_number": "626-300-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S RAYMOND AVE",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918013166",
            "telephone_number": "626-300-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "LESLIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A61152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A611520",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

Verify at the official NPI Registry.