Individual provider Active NPI

Sora Lee, M.D.

  • Nephrology Physician
  • Tarzana, CA
National Provider Identifier
1891939237
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A107136 Issued in CA
Practice address
18370 Burbank Blvd Ste 211
Tarzana, CA 91356-2854
Phone
(747) 201-7444
NPI assigned
Apr 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A107136 CA Primary
Internal Medicine Physician 207R00000X A107136 CA

Addresses

Primary practice location

18370 Burbank Blvd Ste 211
Tarzana, CA 91356-2854

Mailing address

18370 Burbank Blvd Ste 211
Tarzana, CA 91356-2854
Phone (747) 201-7444

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
I20130110000077 CA Practitioner - NephrologyPractitioner - Internal Medicine 1557514155 Reassigns benefits to 1 organization
Practice locations: Tarzana, CA

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
George Washington University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

18370 Burbank Blvd
Suite 211
Tarzana, CA 91356-2854
Phone (747) 201-7444

Hospital & facility affiliations

  • DaVita South Valley Dialysis Dialysis facility, Encino, CA, CCN 052744
  • Woodland Hills Dialysis Dialysis facility, Woodland Hills, CA, CCN 752511
  • Providence Cedars Sinai Tarzana Medical Center Hospital, Tarzana, CA, CCN 050761

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Renal Care Nephrology CurrentSince Aug 1, 2020 Accepting new patients
Tarzana Medical Center LLC Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients

Locations

18370 Burbank Blvd
Ste 211
Tarzana, CA 91356
Phone (818) 334-5750

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 2

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": "1240963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1891939237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18370 BURBANK BLVD STE 211",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562854",
            "telephone_number": "747-201-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18370 BURBANK BLVD STE 211",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562854",
            "telephone_number": "747-201-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "SORA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-29",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A107136",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A107136",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.