Individual provider Active NPI

Terry M Lee, M.D.

  • Family Medicine Physician
  • Monterey Park, CA
National Provider Identifier
1184796104
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G62452 Issued in CA
Practice address
600 N Garfield Ave
Suite 111
Monterey Park, CA 91754-1166
Phone
(626) 280-3651
Fax
(626) 280-3079
NPI assigned
Nov 14, 2006
Last updated
Apr 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G62452 CA Primary

Addresses

Primary practice location

600 N Garfield Ave
Suite 111
Monterey Park, CA 91754-1166

Mailing address

600 N Garfield Ave
Suite 111
Monterey Park, CA 91754-1166
Phone (626) 280-3651

Other identifiers 2

IdentifierTypeStateIssuer
00G624520MedicaidCA
95-4745403OtherCATAX ID#

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
I20050408001110 CA Practitioner - Family Practice 1254388572 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Geffen School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baldwin Park Medical Clinic IncGroup PAC ID 9133350093, 2 clinicians
M D Medical Center IncGroup PAC ID 7618922113, 3 clinicians

Practice addresses (Care Compare)

14051 Ramona Pkwy
Baldwin Park, CA 91706-4114
Phone (626) 960-3753

600 N Garfield Ave
Suite 111
Monterey Park, CA 91754-1167
Phone (626) 280-3651

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
62452CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
M.D. Medical Center, Inc Family Medicine CurrentSince May 4, 1999 Accepting new patients
Careconnectmd Ca PC Family Medicine CurrentSince Jun 16, 2023 Accepting new patients
Baldwin Park Medical Clinic Inc Family Medicine CurrentSince Jul 1, 2013 Accepting new patients
Usc Arcadia Hospital Past Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients
Alhambra Hospital Medical Center, LP Past Accepting new patients

Locations

14051 Ramona Pkwy
Baldwin Park, CA 91706
Phone (626) 338-7338

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

600 N Garfield Ave
Ste 111
Monterey Park, CA 91754
Phone (626) 280-3651

473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1184796104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N GARFIELD AVE",
            "address_2": "SUITE 111",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541166",
            "telephone_number": "626-280-3651",
            "fax_number": "626-280-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N GARFIELD AVE",
            "address_2": "SUITE 111",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541166",
            "telephone_number": "626-280-3651",
            "fax_number": "626-280-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "TERRY",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G62452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G624520",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID#",
            "identifier": "95-4745403",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

Verify at the official NPI Registry.