Individual provider Active NPI

Matthew K Lee, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1942395157
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
G62718 Issued in CA
Practice address
4650 Sunset Blvd
Los Angeles, CA 90028-7900
Phone
(323) 226-2406
Fax
(323) 226-3440
NPI assigned
Oct 4, 2006
Last updated
Aug 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X G62718 CA Primary

Addresses

Primary practice location

4650 Sunset Blvd
Los Angeles, CA 90028-7900

Mailing address

2036 Hanscom Dr
South Pasadena, CA 91030-4012
Phone (323) 259-5918

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
I20070130000294 CA Practitioner - Pediatric Medicine 1153322458 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G62718CAMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cottage Clinical Associates Neonatal-Perinatal Medicine CurrentSince Dec 17, 2023 Accepting new patients
Cottage Medical Foundation CurrentSince Jul 1, 2025 Accepting new patients
Pediatrix Medical Group of California, a Professional Corporation Neonatal-Perinatal Medicine Past Accepting new patients
Sansum Clinic Past Accepting new patients

Locations

2415 De la Vina St
Santa Barbara, CA 93105
Phone (805) 569-8922

351 S Patterson Ave
Santa Barbara, CA 93111
Phone (805) 681-6406

400 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 569-7279

5333 Hollister Ave
Santa Barbara, CA 93111
Phone (805) 879-4272

5333 Hollister Ave
Ste 250
Santa Barbara, CA 93111
Phone (805) 879-4240

2050 Viborg Rd
Solvang, CA 93463
Phone (805) 686-3961

4360 E Main St
Ste B2A
Ventura, CA 93003
Phone (805) 879-4240

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1942395157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2036 HANSCOM DR",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910304012",
            "telephone_number": "323-259-5918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 SUNSET BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287900",
            "telephone_number": "323-226-2406",
            "fax_number": "323-226-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "MATTHEW",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "CA",
            "license": "G62718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.