Individual provider Active NPI

James J Lee, M.D

  • Otolaryngology Physician
  • Fullerton, CA
National Provider Identifier
1033316682
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
G73421 Issued in CA
Practice address
1955 Sunnycrest Dr.
Suite 108
Fullerton, CA 92835-3653
Phone
(714) 441-0133
Fax
(714) 441-1082
NPI assigned
Jun 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X G73421 CA Primary

Addresses

Primary practice location

1955 Sunnycrest Dr.
Suite 108
Fullerton, CA 92835-3653

Mailing address

1955 Sunnycrest Dr.
Suite 108
Fullerton, CA 92835-3653
Phone (714) 441-0133

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
I20080804000413 CA Practitioner - Otolaryngology 1254376510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Rush Medical College of Rush University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1955 Sunny Crest Dr
Suite 108
Fullerton, CA 92835-3653
Phone (714) 441-0133

1955 Sunnycrest Dr
Suite 108
Fullerton, CA 92835-3653

Hospital & facility affiliations

  • Providence St. Jude Medical Center Hospital, Fullerton, CA, CCN 050168

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Orange County ENT Medical Corp Otolaryngology CurrentSince Aug 1, 2002 Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients
St Jude Hospital Inc Past Accepting new patients
James J Lee MD Otolaryngology Past Accepting new patients

Locations

1955 Sunny Crest Dr
Ste 108
Fullerton, CA 92835
Phone (714) 441-0133

100 E Valencia Mesa Dr
Ste 111
Fullerton, CA 92835
Phone (714) 441-0133

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.

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": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1033316682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 SUNNYCREST DR.",
            "address_2": "SUITE 108",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353653",
            "telephone_number": "714-441-0133",
            "fax_number": "714-441-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 SUNNYCREST DR.",
            "address_2": "SUITE 108",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353653",
            "telephone_number": "714-441-0133",
            "fax_number": "714-441-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JAMES",
        "middle_name": "J",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-28",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "G73421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.