Individual provider Active NPI

Diana Lee, M.D.

  • Ophthalmology Physician
  • Fullerton, CA
National Provider Identifier
1043665433
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A151310 Issued in CA
Practice address
2226 N State College Blvd
Fullerton, CA 92831-1361
Phone
(657) 286-5375
NPI assigned
May 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD473433 PA
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X A151310 CA Primary

Addresses

Primary practice location

2226 N State College Blvd
Fullerton, CA 92831-1361

Mailing address

2271 W Malvern Ave # 85
Fullerton, CA 92833-2106
Phone (657) 286-5375

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
I20230712000380 CA Practitioner - Ophthalmology 6204183759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Georgetown University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2226 N State College Blvd
Fullerton, CA 92831-1361
Phone (657) 286-5375

Hospital & facility affiliations

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A151310CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Ophthalmology LTD Ophthalmology CurrentSince Jun 25, 2021 Accepting new patients
Diana Lee MD, PC CurrentSince May 24, 2023 Accepting new patients

Locations

2226 N State College Blvd
Fullerton, CA 92831
Phone (657) 286-5375

2271 W Malvern Ave
Fullerton, CA 92833
Phone (562) 773-4243

390 Linden St
Meadville, PA 16335
Phone (412) 466-8011

2790 Mosside Blvd
Ste 200
Monroeville, PA 15146
Phone (412) 372-0600

9970 Mountain View Dr
Ste 200
West Mifflin/Pleasant Hills, PA 15122
Phone (412) 466-8011

Interoperability endpoints

  • Direct secure messaging: diana.leemd.p1@direct.aiovision.nextgenshare.com

Organizations & group practices 2

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": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1043665433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2271 W MALVERN AVE # 85",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928332106",
            "telephone_number": "657-286-5375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2226 N STATE COLLEGE BLVD",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928311361",
            "telephone_number": "657-286-5375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "DIANA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-04",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD473433",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A151310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.