Active NPI
Stephen Thomas Kee, MD
- Vascular & Interventional Radiology Physician
- Los Angeles, CA
National Provider Identifier
1891738019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- A56389
- Practice address
- 200 UCLA Medical PLZ Ste B265
Los Angeles, CA 90095-3075 - Phone
- (310) 301-6800
- Fax
- (310) 794-9035
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A56389 | CA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | A56389 | CA | Primary |
Addresses
Primary practice location
200 UCLA Medical PLZ Ste B265
Los Angeles, CA 90095-3075
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other practice location 1
1245 16th St Ste 110
Santa Monica, CA 90404-1240
Phone (310) 319-4033
Other practice location 2
2200 N Sepulveda Blvd
Manhattan Beach, CA 90266-2910
Phone (310) 802-0200
Other practice location 3
100 Ucla Medical Plz Ste 100
Los Angeles, CA 90024-7000
Phone (310) 301-6800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A563890 | 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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents Univ of Calif Los Angeles | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychiatric Hospital
- Los Angeles, CA
- NPI 1952308363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576454400000",
"number": "1891738019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 UCLA MEDICAL PLZ STE B265",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900953075",
"telephone_number": "310-301-6800",
"fax_number": "310-794-9035"
}
],
"practiceLocations": [
{
"address_1": "1245 16th St Ste 110",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904041240",
"country_code": "US",
"telephone_number": "310-319-4033",
"fax_number": "310-794-9035",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2200 N Sepulveda Blvd",
"address_purpose": "LOCATION",
"city": "Manhattan Beach",
"state": "CA",
"postal_code": "902662910",
"country_code": "US",
"telephone_number": "310-802-0200",
"fax_number": "310-794-9035",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Ucla Medical Plz Ste 100",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900247000",
"country_code": "US",
"telephone_number": "310-301-6800",
"fax_number": "310-794-9035",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEE",
"first_name": "STEPHEN",
"middle_name": "THOMAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2019-12-16",
"certification_date": "2019-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A56389",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "CA",
"license": "A56389",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A563890",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.