Active NPI
Edmond Lee, D.P.M.
- Podiatrist
- Monterey Park, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E4038
- Practice address
- 500 N Garfield Ave Ste 305
Monterey Park, CA 91754-1242 - Phone
- (626) 703-4188
- Fax
- (213) 617-3144
- NPI assigned
- Jun 30, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | E4038 | CA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E4038 | CA | |
| Podiatrist | 213E00000X | E4038 | CA | Primary |
Addresses
Primary practice location
500 N Garfield Ave Ste 305
Monterey Park, CA 91754-1242
Mailing address
500 N Garfield Ave Ste 305
Monterey Park, CA 91754-1242
Phone (626) 703-4188
Other practice location 1
531 W College St Fl 2
Los Angeles, CA 90012-2315
Phone (213) 620-8702
Other practice location 2
624 W Duarte Rd Ste 105
Arcadia, CA 91007-9256
Phone (626) 446-1740
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000E40380 | Medicaid | CA | |
| P00098261 | Other | PALMETTO GBA |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 N Garfield Ave
Monterey Park, CA 91754-1242
Phone (626) 703-4188
624 W Duarte Rd
Suite 105
Arcadia, CA 91007-9256
Phone (626) 446-1740
Hospital & facility affiliations
- Care Best Home Health Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 99 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1556 |
| Removal or shaving of skin growth | 1070 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E4038 | CA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edmond Lee DPM, Inc. | Podiatrist | Current | Accepting new patients |
| Lee Podiatry Group of Arcadia, Inc. | Podiatrist | Current | Accepting new patients |
| Dignity Community Care | Past | Accepting new patients | |
| Ahmc Garfield Medical Center LP | Past | Accepting new patients |
Locations
650 W Duarte Rd
Ste 104
Arcadia, CA 91007
Phone (626) 446-1740
624 W Duarte Rd
Ste 105
Arcadia, CA 91007
Phone (626) 446-1740
531 W College St
Fl 2
Los Angeles, CA 90012
Phone (213) 620-8702
711 W College St
Ste 520
Los Angeles, CA 90012
Phone (213) 620-8702
500 N Garfield Ave
Ste 305
Monterey Park, CA 91754
Phone (626) 288-3600
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 4
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.
-
- Podiatrist
- Arcadia, CA
- NPI 1699843524
-
- Podiatrist
- Monterey Park, CA
- NPI 1194025957
-
- General Acute Care Hospital
- Monterey Park, CA
- NPI 1730171265
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1114081056
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Alhambra, CA
- NPI 1942207758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610841600000",
"number": "1174552541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 N GARFIELD AVE STE 305",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917541242",
"telephone_number": "626-703-4188",
"fax_number": "213-617-3144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N GARFIELD AVE STE 305",
"city": "MONTEREY PARK",
"state": "CA",
"postal_code": "917541242",
"telephone_number": "626-703-4188",
"fax_number": "213-617-3144"
}
],
"practiceLocations": [
{
"address_1": "531 W College St Fl 2",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900122315",
"country_code": "US",
"telephone_number": "213-620-8702",
"fax_number": "213-617-3144",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "624 W Duarte Rd Ste 105",
"address_purpose": "LOCATION",
"city": "Arcadia",
"state": "CA",
"postal_code": "910079256",
"country_code": "US",
"telephone_number": "626-446-1740",
"fax_number": "213-617-3144",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "EDMOND",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2021-01-17",
"certification_date": "2021-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "CA",
"license": "E4038",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E4038",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E4038",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000E40380",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA",
"identifier": "P00098261",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monterey Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2021; 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.