Active NPI
Yong Tai Lee, M.D.
- Gastroenterology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- G67974
- Practice address
- 903 Crenshaw Blvd Ste 302
Los Angeles, CA 90019-1967 - Phone
- (323) 731-0681
- Fax
- (323) 731-0832
- NPI assigned
- Sep 7, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | G67974 | CA | Primary |
Addresses
Primary practice location
903 Crenshaw Blvd Ste 302
Los Angeles, CA 90019-1967
Mailing address
903 Crenshaw Blvd Ste 302
Los Angeles, CA 90019-1967
Phone (323) 731-0681
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972607364 | Other | CA | NPI |
| 00G679740 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Loma Linda University School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
903 Crenshaw Blvd
Suite 302
Los Angeles, CA 90019-1967
Phone (323) 731-0681
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 98
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 30 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 53 |
| Varicose vein removal | 923 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67974 | CA | MD | Pharmacist |
| G67974 | CA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Star Ambulatory Surgery Center, Inc. | Current | Accepting new patients | |
| Yellow Cross Medical Clinic, Inc. | Current | Accepting new patients | |
| Good Samaritan Hospital, L.P. | Past | Accepting new patients | |
| Cha Hollywood Medical Center, LP | Past | Accepting new patients |
Locations
120 W Cole Blvd
Ste B
Calexico, CA 92231
Phone (323) 731-0681
903 Crenshaw Blvd
Ste 302
Los Angeles, CA 90019
Phone (323) 731-0681
3544 W Olympic Blvd
Ste 100
Los Angeles, CA 90019
Phone (323) 731-0681
903 Crenshaw Blvd
Ste 200
Los Angeles, CA 90019
Phone (323) 937-3333
3544 W Olympic Blvd
Ste 105
Los Angeles, CA 90019
Phone (323) 731-0681
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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 and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Los Angeles, CA
- NPI 1659687226
-
- Ambulatory Surgical Clinic/Center
- Los Angeles, CA
- NPI 1407357601
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1922033547
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1376595777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568851200000",
"number": "1972607364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 CRENSHAW BLVD STE 302",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900191967",
"telephone_number": "323-731-0681",
"fax_number": "323-731-0832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 CRENSHAW BLVD STE 302",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900191967",
"telephone_number": "323-731-0681",
"fax_number": "323-731-0832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "YONG",
"middle_name": "TAI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2019-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "G67974",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1972607364",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G679740",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.