Saint Marys Med Group a Medical Corporation

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

SAINT MARYS MED GROUP A MEDICAL CORPORATION

Practice address

14624 Sherman Way Ste 401
Van Nuys, CA 91405-5848

Phone

(818) 262-4401

NPI assigned

Aug 7, 2025

Organization subpart

No

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

Authorized official

Name

L Lee Nelson, MDNPI 1407972656

Title

President

Phone

(818) 262-4401

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• L. Lee Nelson, MD

  • Emergency Medicine Physician
  • Norwalk, CA
  • NPI 1407972656
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1754524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1962387001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14624 SHERMAN WAY STE 401",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914055848",
            "telephone_number": "818-262-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14624 SHERMAN WAY STE 401",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914055848",
            "telephone_number": "818-262-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT MARYS MED GROUP A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "L",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-262-4401",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.