NPIMap

Individual provider Active NPI

Peter H. Lee, M.D.

  • Nephrology Physician
  • Los Angeles, CA
National Provider Identifier
1932237013
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A35994 Issued in CA
Practice address
4220 W 3Rd St Ste 203
Los Angeles, CA 90020-3450
Phone
(213) 480-3380
Fax
(213) 480-0794
NPI assigned
Mar 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A35994 CA Primary

Addresses

Primary practice location

4220 W 3Rd St Ste 203
Los Angeles, CA 90020-3450

Mailing address

4220 W 3Rd St Ste 203
Los Angeles, CA 90020-3450
Phone (213) 480-3380

Other identifiers 1

IdentifierTypeStateIssuer
00A359940MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050516000457 CA Practitioner - NephrologyPractitioner - Internal Medicine 0244148575 Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4220 W 3Rd St
Los Angeles, CA 90020-3450
Phone (213) 480-3380

Hospital & facility affiliations

  • USRC LA Dialysis Dialysis facility, Los Angeles, CA, CCN 052899
  • USRC Downtown Los Angeles Dialysis Dialysis facility, Los Angeles, CA, CCN 552850
  • Select Care Home Health Services Inc Home health agency, Los Angeles, CA, CCN 058219
  • Ace Home Health, Inc. Home health agency, Los Angeles, CA, CCN 058082
  • Hollywood Presbyterian Medical Center Hospital, Los Angeles, CA, CCN 050063
  • Hollywood Presbyterian Medical Center Inpatient rehabilitation facility, Los Angeles, CA, CCN 05T063
  • Alcott Rehabilitation Hospital Nursing home, Los Angeles, CA, CCN 056293
  • Burlington Convalescent Hospital Nursing home, Los Angeles, CA, CCN 056326

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A35994CAMDNephrology Physician
35994CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cha Hollywood Medical Center, LP Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ace Home Health, Inc.Los Angeles, CA, CCN 058082 Home health agency Contracted Managing Employee (100%) Feb 9, 2001
Mission Home Health Services IncLos Angeles, CA, CCN 058131 Home health agency Operational/Managerial Control Jan 1, 2014

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 8

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": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1932237013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 W 3RD ST STE 203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203450",
            "telephone_number": "213-480-3380",
            "fax_number": "213-480-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 W 3RD ST STE 203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203450",
            "telephone_number": "213-480-3380",
            "fax_number": "213-480-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "PETER",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A35994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A359940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.