Individual provider Active NPI

Jamie Lee, D.C.

  • Chiropractor
  • Laguna Hills, CA
National Provider Identifier
1033144068
Registry record updated Aug 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC17516 Issued in CA
Practice address
25251 Paseo de Alicia
Suite 103
Laguna Hills, CA 92653-4616
Phone
(949) 583-9116
Fax
(949) 859-0230
NPI assigned
Jul 11, 2006
Last updated
Aug 18, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC17516 CA Primary

Addresses

Primary practice location

25251 Paseo de Alicia
Suite 103
Laguna Hills, CA 92653-4616

Mailing address

25251 Paseo de Alicia
Suite 103
Laguna Hills, CA 92653-4616
Phone (949) 583-9116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160413002350 CA Practitioner - Chiropractic 8224336953 Practice locations: Mission Viejo, CA; Santa Ana, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC17516CAMDChiropractor

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": "1250553600000",
    "number": "1033144068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25251 PASEO DE ALICIA",
            "address_2": "SUITE 103",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534616",
            "telephone_number": "949-583-9116",
            "fax_number": "949-859-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25251 PASEO DE ALICIA",
            "address_2": "SUITE 103",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534616",
            "telephone_number": "949-583-9116",
            "fax_number": "949-859-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JAMIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2009-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC17516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.