Individual provider Active NPI

Onechang William Lee, M.D.

  • Neurological Surgery Physician
  • Fountain Valley, CA
National Provider Identifier
1881838662
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
A143259 Issued in CA
Practice address
11190 Warner Ave
Suite 305
Fountain Valley, CA 92708-4019
Phone
(714) 433-2000
NPI assigned
Apr 24, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 125-055125 IL
Neurological Surgery Physician 207T00000X A143259 CA Primary

Addresses

Primary practice location

11190 Warner Ave
Suite 305
Fountain Valley, CA 92708-4019

Mailing address

11190 Warner Ave
Suite 305
Fountain Valley, CA 92708-4019
Phone (714) 433-2000

Other names 1

  • One Chang Lee Former name

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
I20161109001319 CA Practitioner - Neurosurgery 8820219876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Albany Medical College of Union University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tien T Nguyen M.D. Inc.Group PAC ID 0042318131, 6 clinicians

Practice addresses (Care Compare)

18035 Brookhurst St
Suite 1700
Fountain Valley, CA 92708-6738
Phone (714) 433-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.73 of 100Reported as group
Quality
71.67
Improvement activities
40
Cost
72.47

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A143259CAMDNeurological Surgery Physician
125-055125ILMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orange County Global Medical Center, Inc Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1240531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1881838662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11190 WARNER AVE",
            "address_2": "SUITE 305",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084019",
            "telephone_number": "714-433-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11190 WARNER AVE",
            "address_2": "SUITE 305",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084019",
            "telephone_number": "714-433-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ONECHANG",
        "middle_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-24",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "125-055125",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A143259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ONE",
            "last_name": "LEE",
            "middle_name": "CHANG",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.