Individual provider Active NPI

Michael Ming-Yun Lee, D.O.

  • Psychiatry Physician
  • Chino, CA
National Provider Identifier
1164833018
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20A14526 Issued in CA
Practice address
5353 G St
Chino, CA 91710-5249
Phone
(909) 590-3700
NPI assigned
May 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 20A14526 CA Primary
Child & Adolescent Psychiatry Physician 2084P0804X 20A14526 CA

Addresses

Primary practice location

5353 G St
Chino, CA 91710-5249

Mailing address

16155 Sierra Lakes Pkwy Ste 160-740
Fontana, CA 92336-1244
Phone (626) 335-1919

Other practice location 1

16155 Sierra Lakes Pkwy Ste 160
Fontana, CA 92336-1250
Phone (530) 212-0002

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
I20170508002561 CA Practitioner - Psychiatry 3274812276 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Heritage Medical Group IncGroup PAC ID 7517284029, 62 clinicians

Practice addresses (Care Compare)

Fontana, CA 92336
Phone (530) 212-0002

1805 Medical Ctr Dr
San Bernardino, CA 92411-1217
Phone (818) 518-9715

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A14526CAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group Current Accepting new patients
Pacific Heritage Medical Group Inc CurrentSince Mar 25, 2024 Accepting new patients
Michael M Lee D O Inc Psychiatry CurrentSince Apr 16, 2025 Accepting new patients

Locations

5353 G St
Chino, CA 91710
Phone (626) 335-1919

16155 Sierra Lakes Pkwy
Ste 160740
Fontana, CA 92336

16155 Sierra Lakes Pkwy
Ste 160
Fontana, CA 92336
Phone (530) 212-0002

9961 Sierra Ave
Fontana, CA 92335
Phone (909) 427-3910

1805 Medical Center Dr
Sn Bernrdno, CA 92411
Phone (909) 877-6333

3625 E Thousand Oaks Blvd
Ste 232
Westlake Village, CA 91362
Phone (818) 518-9715

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.

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": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1164833018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16155 SIERRA LAKES PKWY STE 160-740",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923361244",
            "telephone_number": "626-335-1919",
            "fax_number": "249-493-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 G ST",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105249",
            "telephone_number": "909-590-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16155 Sierra Lakes Pkwy Ste 160",
            "address_purpose": "LOCATION",
            "city": "Fontana",
            "state": "CA",
            "postal_code": "923361250",
            "country_code": "US",
            "telephone_number": "530-212-0002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "MICHAEL",
        "middle_name": "MING-YUN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-14",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A14526",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "20A14526",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

Verify at the official NPI Registry.