NPIMap

Individual provider Active NPI

Justin Thien Lee, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Bakersfield, CA
National Provider Identifier
1104913425
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
A95245 Issued in CA
Practice address
500 Old River Rd Ste 200
Bakersfield, CA 93311-9505
Phone
(661) 663-6429
Fax
(661) 663-6041
NPI assigned
Oct 6, 2006
Last updated
Oct 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X A95245 CA Primary

Addresses

Primary practice location

500 Old River Rd Ste 200
Bakersfield, CA 93311-9505

Mailing address

PO Box 2287
Bakersfield, CA 93303-2287
Phone (661) 324-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081027000247 UT Practitioner - Obstetrics/Gynecology 8628014271 Reassigns benefits to 1 organization
I20180907001907 CA Practitioner - Obstetrics/Gynecology 8628014271 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

400 Old River Rd
Bakersfield, CA 93311-9781
Phone (661) 663-6000

500 Old River Rd
Suite 200
Bakersfield, CA 93311-9505
Phone (661) 663-6429

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of the uterus24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A95245CAMDFemale Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Central Coast Health Centers Current Accepting new patients
Justin Thien Lee, MD Inc CurrentSince Aug 1, 2018 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Pacific Central Coast Health Centers CurrentSince Nov 11, 2021 Accepting new patients
Pacific Central Coast Health Centers CurrentSince Nov 11, 2021 Accepting new patients
Ihc Health Services Inc CurrentSince May 1, 2008 Accepting new patients
Moberly Medical Clinics Inc Past Accepting new patients
Dignity Health Medical Foundation Past Accepting new patients
Ihc Health Services, Inc. Past Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients
Moberly Medical Clinics Inc Past Accepting new patients
Hilary J. Cholhan, MD, PLLC Past Accepting new patients
Ihc Health Services Inc Past Accepting new patients
Midwest Heart and Vein Center, LLC Past Accepting new patients
Ihc Health Services, Inc. Past Accepting new patients

Locations

500 Old River Rd
Ste 200
Bakersfield, CA 93311
Phone (661) 663-6429

2901 N Ventura Rd
Ste 110
Oxnard, CA 93036
Phone (805) 981-6163

117 W Bunny Ave
Santa Maria, CA 93458
Phone (805) 739-3474

1510 E Main St
Ste 104C
Santa Maria, CA 93454
Phone (805) 349-8514

400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

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": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1104913425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2287",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933032287",
            "telephone_number": "661-324-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 OLD RIVER RD STE 200",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933119505",
            "telephone_number": "661-663-6429",
            "fax_number": "661-663-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JUSTIN",
        "middle_name": "THIEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "CA",
            "license": "A95245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.