Individual provider Active NPI

Paul Chen Lee, M.D.

  • Interventional Pain Medicine Physician
  • Fullerton, CA
National Provider Identifier
1003078981
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
A110986 Issued in CA
Practice address
1440 N Harbor Blvd Ste 100
Fullerton, CA 92835-4114
Phone
(855) 906-7246
NPI assigned
Jul 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X A110986 CA
Interventional Pain Medicine Physician 208VP0014X A110986 CA Primary

Addresses

Primary practice location

1440 N Harbor Blvd Ste 100
Fullerton, CA 92835-4114

Mailing address

1440 N Harbor Blvd Ste 120
Fullerton, CA 92835-4114
Phone (855) 906-7246

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
I20131114000237 CA Practitioner - Interventional Pain ManagementPractitioner - Pain ManagementPractitioner - Physical Medicine and Rehabilitation 8325274798 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Pain Management, Physical Medicine and Rehabilitation
Education
Albert Einstein College of Medicine of Yeshiva University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Roy D Nini MD IncGroup PAC ID 4385723279, 3 clinicians

Practice addresses (Care Compare)

444 S San Vicente Blvd
Los Angeles, CA 90048-4165
Phone (310) 423-9900

Hospital & facility affiliations

  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A110986CAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Usc Care Medical Group, Inc CurrentSince Jul 1, 2019 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Jul 1, 2019 Accepting new patients
Roy D Nini MD Inc CurrentSince Oct 1, 2013 Accepting new patients

Locations

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

1440 N Harbor Blvd
Ste 120
Fullerton, CA 92835
Phone (855) 906-7246

1440 N Harbor Blvd
Ste 100
Fullerton, CA 92835
Phone (714) 447-3144

1225 W 190th St
Ste 400
Gardena, CA 90248

444 S San Vicente Blvd
Los Angeles, CA 90048
Phone (213) 637-3700

1520 San Pablo St
Ste 2000
Los Angeles, CA 90033
Phone (323) 442-5830

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1003078981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 N HARBOR BLVD STE 120",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354114",
            "telephone_number": "855-906-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 N HARBOR BLVD STE 100",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928354114",
            "telephone_number": "855-906-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "PAUL",
        "middle_name": "CHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-01",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A110986",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A110986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.