NPIMap

Individual provider Active NPI

Aaron J Lee, DO

  • Surgery Physician
  • Riverside, CA
National Provider Identifier
1114246568
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
20A15545 Issued in CA
Practice address
7111 Indiana Ave Ste 100
Riverside, CA 92504
Phone
(951) 276-9012
Fax
(951) 276-9163
NPI assigned
May 25, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 20A15545 CA Primary

Addresses

Primary practice location

7111 Indiana Ave Ste 100
Riverside, CA 92504

Mailing address

7111 Indiana Ave
Suite 100
Riversdie, CA 92504-4557
Phone (951) 276-9012

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170720000839 CA Practitioner - General Surgery 0648588053 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of North Texas HSC, College of Osteopathic Med, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Acute Care Surgeons IncGroup PAC ID 0143659862, 5 clinicians
United Medical DoctorsGroup PAC ID 2961305651, 168 clinicians
Nurick Surgical Institute IncGroup PAC ID 2961426630, 4 clinicians

Practice addresses (Care Compare)

401 E Highland Ave
Suite 351
San Bernardino, CA 92404-3830
Phone (909) 820-7200

521 E Elder St
Suite 104
Fallbrook, CA 92028-3082
Phone (760) 728-9560

7111 Indiana Ave
Suite 100
Riverside, CA 92504-4557
Phone (951) 276-9012

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Varicose vein removal1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A15545CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Acute Care Surgeons Inc Surgery CurrentSince Jul 4, 2025 Accepting new patients
Nurick Surgical Institute Inc Surgery CurrentSince Jul 1, 2017 Accepting new patients
Alliant Surgical Current Accepting new patients
United Medical Doctors Past Accepting new patients
Cleveland Clinic Weston Hospital Nonprofit Corporation Past Accepting new patients
Doctors Hospital of Riverside LLC Past Accepting new patients
Ocean Surgical Inc Surgery Past Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients

Locations

7111 Indiana Ave
Ste 100
Riverside, CA 92504
Phone (951) 276-9012

401 E Highland Ave
Ste 351
Sn Bernrdno, CA 92404
Phone (909) 475-8611

967 Kendall Dr
Ste A306
Sn Bernrdno, CA 92407

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ajl106pcs1401@primeclinicalsystems.direct-ci.com

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 3

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": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1114246568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 INDIANA AVE",
            "address_2": "SUITE 100",
            "city": "RIVERSDIE",
            "state": "CA",
            "postal_code": "925044557",
            "telephone_number": "951-276-9012",
            "fax_number": "951-276-9163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 INDIANA AVE STE 100",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92504",
            "telephone_number": "951-276-9012",
            "fax_number": "951-276-9163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "AARON",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "20A15545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.