Individual provider Active NPI

Edmond Lee, D.P.M.

  • Podiatrist
  • Monterey Park, CA
National Provider Identifier
1174552541
Registry record updated Jan 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E4038 Issued in CA
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

Updated by the provider on Jan 17, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000E40380MedicaidCA
P00098261OtherPALMETTO 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070321000535 CA Practitioner - Podiatry 3779686225 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lee Podiatry Group of Arcadia, IncGroup PAC ID 1153424601, 2 clinicians

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 Home health agency, Alhambra, CA, CCN 058115

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue99
Removal of skin lesions1-10
Removal of nail tissue1556
Removal or shaving of skin growth1070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E4038CAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Edmond Lee DPM, Inc. Podiatrist CurrentSince Oct 1, 2010 Accepting new patients
Lee Podiatry Group of Arcadia, Inc. Podiatrist CurrentSince Apr 1, 2006 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.