Active NPI
Kenneth W Lee & Associates Inc
- Gastroenterology Physician
- Pomona, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- A79488
- Legal business name
- KENNETH W LEE & ASSOCIATES INC
- Practice address
- 210 W Bonita Ave Ste 140
Pomona, CA 91767-1866 - Phone
- (909) 622-3800
- Fax
- (909) 622-2600
- NPI assigned
- Mar 9, 2011
- Last updated
- Sep 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kenneth W Lee, MD
- Title
- President
- Phone
- (909) 517-3501
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | A79488 | CA | Primary |
Addresses
Primary practice location
210 W Bonita Ave Ste 140
Pomona, CA 91767-1866
Mailing address
PO Box 1306
Upland, CA 91785-1306
Phone (909) 622-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A694880 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2110400 | Kenneth W Lee MD & Associates Inc | Accreditation | Dec 10, 2026 |
National Provider Directory
National Provider DirectoryLocations
160 E Artesia St
Ste 140
Pomona, CA 91767
Phone (626) 653-9395
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gastroenterology Physician
- Pomona, CA
- NPI 1417023227
-
- Anatomic Pathology & Clinical Pathology Physician
- Bellflower, CA
- NPI 1447321344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790035200000",
"number": "1063710408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1306",
"city": "UPLAND",
"state": "CA",
"postal_code": "917851306",
"telephone_number": "909-622-3800",
"fax_number": "909-622-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 W BONITA AVE STE 140",
"city": "POMONA",
"state": "CA",
"postal_code": "917671866",
"telephone_number": "909-622-3800",
"fax_number": "909-622-2600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENNETH W LEE & ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-09",
"last_updated": "2026-09-22",
"certification_date": "2026-09-22",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "909-517-3501",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "A79488",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A694880",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.