NPIMap

Individual provider Active NPI

Edmond Sam Lee, MD

  • Hematology & Oncology Physician
  • Monterey Park, CA
National Provider Identifier
1790843365
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
A54583 Issued in CA
Practice address
600 N Garfield Ave
Suite 200
Monterey Park, CA 91754-1166
Phone
(626) 573-5000
Fax
(626) 573-5001
NPI assigned
Dec 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X A54583 CA Primary

Addresses

Primary practice location

600 N Garfield Ave
Suite 200
Monterey Park, CA 91754-1166

Mailing address

600 N Garfield Ave
Suite 200
Monterey Park, CA 91754-1166
Phone (626) 573-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050406000461 CA Practitioner - Hematology/Oncology 3971550492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
R Franklin University of Med & Sci/Chicago Medical School, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

600 N Garfield Ave
Suite 200
Monterey Park, CA 91754-1169
Phone (626) 573-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A54583CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Garfield Hematology & Oncology Consultans Medical Group Current Accepting new patients
Garfield Hematology and Oncology Consultants Medical Group, Inc Hematology & Oncology CurrentSince Jan 1, 2001 Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients

Locations

600 N Garfield Ave
Ste 200
Monterey Park, CA 91754
Phone (626) 288-0008

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790843365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N GARFIELD AVE",
            "address_2": "SUITE 200",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541166",
            "telephone_number": "626-573-5000",
            "fax_number": "626-573-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N GARFIELD AVE",
            "address_2": "SUITE 200",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541166",
            "telephone_number": "626-573-5000",
            "fax_number": "626-573-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "EDMOND",
        "middle_name": "SAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "A54583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

Verify at the official NPI Registry.