Active NPI
Michael S Lee, MD
- Emergency Medicine Physician
- Lynwood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A91019
- Practice address
- 3630 East Imperial Highway
Lynwood, CA 90262-2678 - Phone
- (310) 900-8900
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A91019 | CA | Primary |
Addresses
Primary practice location
3630 East Imperial Highway
Lynwood, CA 90262-2678
Mailing address
PO Box 12110
Westminster, CA 92685-2110
Phone (562) 809-3571
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A910190 | 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
- Emergency Medicine
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12401 Washington Blvd
Whittier, CA 90602-1006
Phone (562) 698-0811
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A91019 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intercommunity Emergency Medical Group | Emergency Medicine | Current | Accepting new patients |
| Mountain View Emergency Physicians Medical Group, Inc. | Emergency Medicine | Current | Accepting new patients |
| Front Line Emergency Care Spec | Emergency Medicine | Past | Accepting new patients |
Locations
11500 Brookshire Ave
Downey, CA 90241
Phone (562) 904-5000
1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741
999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841
12401 Washington Blvd
Whittier, CA 90602
Phone (562) 698-0611
4401 W Memorial Rd
Ste 121
Oklahoma City, OK 73134
Phone (405) 749-4560
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Whittier, CA
- NPI 1871535286
-
- Emergency Medicine Physician
- Upland, CA
- NPI 1619923653
-
- Emergency Medicine Physician
- Lynwood, CA
- NPI 1366451080
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Downey, CA
- NPI 1265433551
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1508859323
-
- General Acute Care Hospital
- Whittier, CA
- NPI 1043215379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260230400000",
"number": "1992733943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12110",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926852110",
"telephone_number": "562-809-3571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3630 EAST IMPERIAL HIGHWAY",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902622678",
"telephone_number": "310-900-8900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "MICHAEL",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2009-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A91019",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A910190",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lynwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; 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.