NPIMap

Organization Active NPI

New Light Medical Group, Inc.

  • Health Maintenance Organization
  • Anaheim, CA
National Provider Identifier
1912133364
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
A39186 Issued in CA
Legal business name
NEW LIGHT MEDICAL GROUP, INC.
Practice address
1801 W Romneya Dr
Ste #606
Anaheim, CA 92801-1828
Phone
(714) 635-0600
Fax
(714) 635-0610
NPI assigned
May 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Authorized official

Name
Dr. Jeong-Ok Lee, M.D.
Title
President
Phone
(714) 635-0600

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X
Health Maintenance Organization 302R00000X A39186 CA Primary
Preferred Provider Organization 305R00000X
Point of Service 305S00000X

Addresses

Primary practice location

1801 W Romneya Dr
Ste #606
Anaheim, CA 92801-1828

Mailing address

1801 W Romneya Dr
Ste #606
Anaheim, CA 92801-1828
Phone (714) 635-0600

National Provider Directory

National Provider Directory

Locations

1801 W Romneya Dr
Ste 606
Anaheim, CA 92801
Phone (714) 635-0600

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1912133364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 W ROMNEYA DR",
            "address_2": "STE #606",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011828",
            "telephone_number": "714-635-0600",
            "fax_number": "714-635-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W ROMNEYA DR",
            "address_2": "STE #606",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011828",
            "telephone_number": "714-635-0600",
            "fax_number": "714-635-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIGHT MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-29",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JEONG-OK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-635-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "A39186",
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.