Individual provider Active NPI

Jason Chen-Shan Lee, M.D.

  • Diagnostic Radiology Physician
  • Thousand Oaks, CA
National Provider Identifier
1104830371
Registry record updated Apr 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A82022 Issued in CA
Practice address
227 W Janss Rd
#150
Thousand Oaks, CA 91360-1848
Phone
(805) 496-7755
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A82022 CA Primary

Addresses

Primary practice location

227 W Janss Rd
#150
Thousand Oaks, CA 91360-1848

Mailing address

26500 Agoura Rd
#431
Calabasas, CA 91302-1952
Phone (310) 365-8711

Other identifiers 1

IdentifierTypeStateIssuer
00A820220MedicaidCA

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
I20051103000531 CA Practitioner - Diagnostic Radiology 6204854748 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, Geffen School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thousand Oaks Diagnostic Imaging CenterGroup PAC ID 6305983669, 10 clinicians
West Valley Radiology Medical Group IncGroup PAC ID 1658266622, 42 clinicians
Beverly Radiology Medical Group IIIGroup PAC ID 3476466376, 327 clinicians

Practice addresses (Care Compare)

227 W Janss Rd
Suite 150
Thousand Oaks, CA 91360-1859
Phone (805) 496-7755

26500 Agoura Rd
Suite 431
Calabasas, CA 91302-1952
Phone (855) 504-4544

3025 W Ross Ave
Alhambra, CA 91803-2548
Phone (855) 504-4544

3421 Deep Waters CT
Simi Valley, CA 93065-0587
Phone (855) 504-4544

415 Rolling Oaks Dr
Suite 125And160
Thousand Oaks, CA 91361-1029
Phone (805) 778-1513

7300 Medical Ctr Dr
West Hills, CA 91307-1902
Phone (818) 676-4000

Hospital & facility affiliations

  • Los Robles Hospital & Medical Center Hospital, Thousand Oaks, CA, CCN 050549
  • Adventist Health Simi Valley Hospital, Simi Valley, CA, CCN 050236

Merit-based Incentive Payment System (MIPS)

Final score
91.96 of 100Reported as group
Quality
93.25
Improvement activities
40
Cost
79.74

Merit-based Incentive Payment System (MIPS)

Final score
89.78 of 100Reported as group
Quality
80
Improvement activities
40
Cost
75.29

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A82022CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
West Valley Radiology Medical Group, Inc. Diagnostic Radiology CurrentSince Jan 1, 2019 Accepting new patients
Thousand Oaks Diagnostic Imaging Center Diagnostic Radiology CurrentSince Jul 30, 2009 Accepting new patients
Palms Imaging Medical Group Diagnostic Radiology CurrentSince Jul 17, 2024 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
UCLA Radiology Medical Group Diagnostic Radiology Past Accepting new patients

Locations (25 of 29)

18523 Corwin Rd
Ste J
Apple Valley, CA 92307
Phone (760) 242-4444

8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100

2601 W Alameda Ave
Ste 101
Burbank, CA 91505
Phone (818) 843-7462

26500 Agoura Rd
#431
Calabasas, CA 91302

801 S Main St
Ste 101
Corona, CA 92882
Phone (951) 682-1099

801 S Main St
Ste 205
Corona, CA 92882
Phone (951) 351-1025

16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020

6107 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 435-4433

9191 Westminster Ave
Ste 105
Garden Grove, CA 92844
Phone (714) 583-6314

250 S 12th Ave
Hanford, CA 93230
Phone (559) 295-2450

2679 Zoe Ave
Huntington Park, CA 90255
Phone (323) 584-3333

11360 Mountain View Ave
Ste C
Loma Linda, CA 92354
Phone (909) 478-3300

3715 E South St
Long Beach, CA 90805
Phone (562) 602-0700

3320 N Los Coyotes Diagonal
Ste 120
Long Beach, CA 90808
Phone (562) 627-0903

27168 Newport Rd
Ste B
Menifee, CA 92584
Phone (951) 566-5725

25395 Hancock Ave
#1101112
Murrieta, CA 92562
Phone (951) 696-4230

3909 Waring Rd
Ste Bc
Oceanside, CA 92056
Phone (760) 630-0014

1901 Outlet Center Dr
Ste 120
Oxnard, CA 93036
Phone (805) 357-0067

2950 Sycamore Dr
Ste 102
Simi Valley, CA 93065
Phone (805) 357-0067

300 Lombard St
Thousand Oaks, CA 91360
Phone (805) 495-1220

2190 Lynn Rd
Ste 100
Thousand Oaks, CA 91360
Phone (805) 373-8878

2190 Lynn Rd
Ste 220
Thousand Oaks, CA 91360
Phone (805) 495-8050

215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435

2180 Lynn Rd
Thousand Oaks, CA 91360
Phone (805) 495-9442

227 W Janss Rd
Ste 150
Thousand Oaks, CA 91360
Phone (805) 496-7755

Organizations & group practices 8

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334275200000",
    "number": "1104830371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26500 AGOURA RD",
            "address_2": "#431",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021952",
            "telephone_number": "310-365-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 W JANSS RD",
            "address_2": "#150",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601848",
            "telephone_number": "805-496-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JASON",
        "middle_name": "CHEN-SHAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2012-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A82022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A820220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.