Individual provider Active NPI

David Younseog Lee, MD

  • Pain Medicine (Anesthesiology) Physician
  • Chino, CA
National Provider Identifier
1083063408
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
A140395 Issued in CA
Practice address
13768 Roswell Ave Ste 220
Chino, CA 91710-1408
Phone
(818) 610-7715
NPI assigned
Jun 7, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A140395 CA
Pain Medicine (Anesthesiology) Physician 207LP2900X A140395 CA Primary

Addresses

Primary practice location

13768 Roswell Ave Ste 220
Chino, CA 91710-1408

Mailing address

PO Box 3129
Torrance, CA 90510-3129
Phone (310) 792-3914

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
I20190903002507 CA Practitioner - Anesthesiology 2961752175 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.63 of 100Reported as group
Quality
67.56
Improvement activities
40
Cost
71.56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A140395CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John Muir Trauma Physicians Billing Service Anesthesiology CurrentSince Aug 16, 2023 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Mar 1, 2020 Accepting new patients
Cep America - Anesthesia, PC Anesthesiology Current Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
Allied Anesthesia Medical Group Inc Anesthesiology CurrentSince Jun 28, 2023 Accepting new patients
Dr Lee Pain MD Inc Pain Medicine CurrentSince Jul 9, 2022 Accepting new patients
Marc Maskowitz MD, a Professional Corporation CurrentSince Apr 28, 2021 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Mar 1, 2020 Accepting new patients
Cep America - Anesthesia PC Anesthesiology Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients

Locations

13768 Roswell Ave
Ste 220
Chino, CA 91710
Phone (818) 610-7715

2540 East St
Concord, CA 94520
Phone (925) 674-2228

1124 S Main St
Ste 101
Corona, CA 92882
Phone (951) 737-6363

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

455 S Main St
Orange, CA 92868
Phone (714) 289-4511

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810

1321 Howe Ave
Ste 225
Sacramento, CA 95825
Phone (916) 564-2225

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

1601 Ygnacio Valley Rd
#100
Walnut Creek, CA 94598
Phone (925) 947-5245

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1083063408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3129",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905103129",
            "telephone_number": "310-792-3914",
            "fax_number": "855-898-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13768 ROSWELL AVE STE 220",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101408",
            "telephone_number": "818-610-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "DAVID",
        "middle_name": "YOUNSEOG",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-07",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A140395",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A140395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

Verify at the official NPI Registry.