Individual provider Active NPI

Chris Ikjoon Lee, M.D.

  • Family Medicine Physician
  • Rowland Heights, CA
National Provider Identifier
1225008238
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A88926 Issued in CA
Practice address
18897-B Colima Rd.
Rowland Heights, CA 91748-2977
Phone
(626) 913-8010
Fax
(626) 913-0737
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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 A88926 CA Primary

Addresses

Primary practice location

18897-B Colima Rd.
Rowland Heights, CA 91748-2977

Mailing address

18897 Colima Rd
Ste B
Rowland Heights, CA 91748-2977
Phone (626) 913-8010

Other identifiers 2

IdentifierTypeStateIssuer
2576536MedicaidCA
00A889260MedicaidCA

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
I20050701000225 CA Practitioner - Family Practice 8628014511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18897 Colima Rd
Suite B
Rowland Heights, CA 91748-2977
Phone (626) 913-8010

Hospital & facility affiliations

  • Ace Home Health, Inc. Home health agency, Los Angeles, CA, CCN 058082

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chris I. Lee MD Inc. CurrentSince Aug 1, 2005 Accepting new patients

Locations

18270 Siskiyou Rd
Ste A
Apple Valley, CA 92307
Phone (760) 927-1879

888 Brea Canyon Rd
Ste 170
Diamond Bar, CA 91789

18897 Colima Rd
Ste B
Rowland Hghts, CA 91748
Phone (626) 913-8010

Interoperability endpoints

  • Direct secure messaging: chris.lee@650642055954436.direct.elationemr.com

Organizations & group practices 1

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1225008238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18897 COLIMA RD",
            "address_2": "STE B",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917482977",
            "telephone_number": "626-913-8010",
            "fax_number": "877-412-9783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18897-B COLIMA RD.",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917482977",
            "telephone_number": "626-913-8010",
            "fax_number": "626-913-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CHRIS",
        "middle_name": "IKJOON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A88926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2576536",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A889260",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowland Heights, CA

Sources for this page

Verify at the official NPI Registry.