Individual provider Active NPI

Stephen Y Lee, M.D.,FACOG

  • Specialist
  • Montebello, CA
National Provider Identifier
1891772026
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A32681 Issued in CA
Practice address
111 W Beverly Blvd
Suite #227
Montebello, CA 90640-4312
Phone
(323) 727-0367
Fax
(323) 727-1955
NPI assigned
Dec 29, 2005
Sex
Male
Sole proprietor
No

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
Specialist 174400000X A32681 CA Primary

Addresses

Primary practice location

111 W Beverly Blvd
Suite #227
Montebello, CA 90640-4312

Mailing address

111 W Beverly Blvd
Suite #227
Montebello, CA 90640-4312
Phone (323) 727-0367

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
I20071008000153 CA Practitioner - Obstetrics/Gynecology 6103911078

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BeverlycareGroup PAC ID 9537416102, shared by 3 NPIs, 4 clinicians

Practice addresses (Care Compare)

1920 W Whittier Blvd
Montebello, CA 90640-4009
Phone 32392005051469

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Hospital Corporation Past Accepting new patients
White Memorial Medical Center Past Accepting new patients
Beverlycare Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891772026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W BEVERLY BLVD",
            "address_2": "SUITE #227",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404312",
            "telephone_number": "323-727-0367",
            "fax_number": "323-727-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W BEVERLY BLVD",
            "address_2": "SUITE #227",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404312",
            "telephone_number": "323-727-0367",
            "fax_number": "323-727-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "STEPHEN",
        "middle_name": "Y",
        "credential": "M.D.,FACOG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A32681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

Verify at the official NPI Registry.