Jow Shone Lee, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A33688 Issued in CA

Practice address

1169 W Ramsey St
Banning, CA 92220-4443

Phone

(951) 849-1543

Fax

(951) 849-8894

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Desert Medical Specialists Inc

  • Internal Medicine Physician
  • Indio, CA
  • NPI 1568789725
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003847583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1169 W RAMSEY ST",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922204443",
            "telephone_number": "951-849-1543",
            "fax_number": "951-849-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 W RAMSEY ST",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922204443",
            "telephone_number": "951-849-1543",
            "fax_number": "951-849-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JOW",
        "middle_name": "SHONE",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A33688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A336880",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronda Lawhon
• Denise Lawson
• Thomas M. Layte, LCSW
• Vinh John Xuan Le, MD
• Candice Ji Eun Lee-Wang, MD
• Julia Lee, M.D.
• Michael Joe Lee, MD
• Kristen Lew, M.D
• Carlotta Lewis
• Zelma Gail Lewis, RECREATION THERAPIST

• Pediatrics Physician in Banning, CA
• Providers in Banning, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.