Active NPI
Jason F Lee, MD
- Geriatric Medicine (Family Medicine) Physician
- Burbank, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- A134450
- Practice address
- 4323 W Riverside Dr
Burbank, CA 91505-4044 - Phone
- (818) 556-2700
- NPI assigned
- Jun 26, 2012
- Last updated
- Oct 24, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A134450 | CA | |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | A134450 | CA | Primary |
Addresses
Primary practice location
4323 W Riverside Dr
Burbank, CA 91505-4044
Mailing address
5767 W Century Blvd
Suite 400
Los Angeles, CA 90045-5631
Phone (310) 301-8714
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1000 Flower St
Glendale, CA 91201-3007
Phone (818) 659-5000
4323 W Riverside Dr
Burbank, CA 91505-4044
Phone (818) 556-2700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A134450 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California | Family Medicine | Current | Accepting new patients |
| Regents Univ of Calif Los Angeles | Past | Accepting new patients |
Locations
4323 W Riverside Dr
Burbank, CA 91505
Phone (818) 556-2700
1000 Flower St
Glendale, CA 91201
Phone (818) 659-5000
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
File 59755
Los Angeles, CA 90074
Interoperability endpoints
- jlee382646@direct.uclahealth.org
Organizations & group practices 3
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.
-
dba UCLA Entertainment Ind MedGrp
- Internal Medicine Physician
- Glendale, CA
- NPI 1891110888
Family Medicine
-
dba UCLA Entertainment Ind Medgrp
- Durable Medical Equipment & Medical Supplies
- Woodland Hills, CA
- NPI 1083063127
-
dba Resnick Neuropsychiatric Hospital at UCLA
- Psychiatric Hospital
- Los Angeles, CA
- NPI 1952308363
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ronald Reagan UCLA Medical Center
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1902803315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571875200000",
"number": "1164786042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD",
"address_2": "SUITE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631",
"telephone_number": "310-301-8714",
"fax_number": "310-301-8712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4323 W RIVERSIDE DR",
"city": "BURBANK",
"state": "CA",
"postal_code": "915054044",
"telephone_number": "818-556-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JASON",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-26",
"last_updated": "2019-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A134450",
"primary": false
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "CA",
"license": "A134450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.