Active NPI
Tracy Lee, D.O.
- Internal Medicine Physician
- Chula Vista, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 20A17140
- Practice address
- 435 H St
Chula Vista, CA 91910-4307 - Phone
- (619) 862-6673
- Fax
- (619) 691-7335
- NPI assigned
- Mar 30, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 20A17140 | CA | Primary |
Addresses
Primary practice location
435 H St
Chula Vista, CA 91910-4307
Mailing address
435 H St
Chula Vista, CA 91910-4307
Phone (619) 862-6673
Other practice location 1
4077 Fifth Ave # Mer35
San Diego, CA 92103-2105
Phone (619) 260-7220
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
- Hospitalist
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4077 5TH Ave
San Diego, CA 92103-2105
Phone (619) 294-8111
Hospital & facility affiliations
- Scripps Mercy Hospital
- Kaiser Foundation Hospital - San Diego
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17140 | CA | MD | Professional Counselor |
| 20A17140 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc. | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Internal Medicine | Current | Accepting new patients |
| Scripps Health | Internal Medicine | Current | Accepting new patients |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Scripps Health Inpatient Providers Medical Group Inc. | Current | Accepting new patients |
Locations
435 H St
Chula Vista, CA 91910
Phone (619) 691-7000
9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123
10666 N Torrey Pines Rd
La Jolla, CA 92037
Phone (858) 554-2626
File 54433
Los Angeles, CA 90074
Phone (858) 784-5645
4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038
823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323
4077 5th Ave
#35
San Diego, CA 92103
Phone (619) 260-7220
10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626
4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245
4094 4th Ave
San Diego, CA 92103
Phone (619) 515-2545
Interoperability endpoints
- tlee34653@scrippshlth.medalliesdirect.net
Organizations & group practices 13
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.
-
- Multi-Specialty Clinic/Center
- La Jolla, CA
- NPI 1699043000
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1447281936
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
-
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1356178180
-
- Federally Qualified Health Center (FQHC)
- El Cajon, CA
- NPI 1932561198
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Home Health Agency
- San Diego, CA
- NPI 1578556114
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1659359446
-
- General Acute Care Hospital
- La Jolla, CA
- NPI 1841277704
-
- Health Maintenance Organization
- Los Angeles, CA
- NPI 1043242563
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1013062769
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1659359446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625011200000",
"number": "1215469028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 H ST",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919104307",
"telephone_number": "619-862-6673",
"fax_number": "619-691-7335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 H ST",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919104307",
"telephone_number": "619-862-6673",
"fax_number": "619-691-7335"
}
],
"practiceLocations": [
{
"address_1": "4077 Fifth Ave # Mer35",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921032105",
"country_code": "US",
"telephone_number": "619-260-7220",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "TRACY",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-30",
"last_updated": "2021-06-30",
"certification_date": "2021-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "20A17140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.