Active NPI
Ping Nga Allan Lee, M.D.
- Internal Medicine Physician
- Albany, CA
National Provider Identifier
1972538833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- C54273
- Practice address
- 400 Evelyn Ave
Ste 107
Albany, CA 94706 - Phone
- (510) 524-4040
- Fax
- (510) 524-4140
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101240096 | VA | |
| Infectious Disease Physician | 207RI0200X | 0101240096 | VA | |
| Internal Medicine Physician | 207R00000X | C54273 | CA | Primary |
Addresses
Primary practice location
400 Evelyn Ave
Ste 107
Albany, CA 94706
Mailing address
400 Evelyn Ave
Ste 107
Albany, CA 94706
Phone (510) 524-4040
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5906170 | Medicaid | NC | |
| P00356139 | Other | VA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C54273 | CA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379980800000",
"number": "1972538833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 EVELYN AVE",
"address_2": "STE 107",
"city": "ALBANY",
"state": "CA",
"postal_code": "94706",
"telephone_number": "510-524-4040",
"fax_number": "510-524-4140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 EVELYN AVE",
"address_2": "STE 107",
"city": "ALBANY",
"state": "CA",
"postal_code": "94706",
"telephone_number": "510-524-4040",
"fax_number": "510-524-4140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "PING NGA ALLAN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2013-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101240096",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "VA",
"license": "0101240096",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "C54273",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5906170",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00356139",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albany, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.