NPIMap

Individual provider Active NPI

Eunice Jaeun Lee, M.D.

  • Pediatrics Physician
  • Montclair, CA
National Provider Identifier
1235344607
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A103616 Issued in CA
Practice address
9675 Monte Vista Ave Ste C
Montclair, CA 91763-2213
Phone
(855) 505-7467
Fax
(888) 975-8926
NPI assigned
May 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 43667 AZ
Pediatrics Physician 208000000X A103616 CA Primary

Addresses

Primary practice location

9675 Monte Vista Ave Ste C
Montclair, CA 91763-2213

Mailing address

495 E Rincon St Ste 215
Corona, CA 92879-1378
Phone (951) 354-3221

Other practice location 1

9939 Magnolia Ave
Riverside, CA 92503-3528
Phone (855) 505-7467

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
43667AZMDPediatrics Physician
A103616CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Javier R. Rios MD a Professional Corporation Family Medicine Past Accepting new patients
Alessandro Medical Professional Corporation Family Medicine Past Accepting new patients
Dr. Javier Rios a Medical Corporation Family Medicine Past Accepting new patients
Montclair Medical Professional Corporation Family Medicine Past Accepting new patients
Dr. Javier Rios a Medical Corporation Family Medicine Past Accepting new patients
Dr. Javier Rios, a Medical Corporation Family Medicine Past Accepting new patients
Alessandro Medical Professional Corporation Family Medicine Past Accepting new patients
Dr. Javier Rios, a Medical Corporation Family Medicine Past Accepting new patients
Dr. Javier Rios, a Medical Corporation Family Medicine Past Accepting new patients
Javier R Rios MD, a Professional Corporation Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: eleemd@noahsarkpeds.opdirect.net

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1235344607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 E RINCON ST STE 215",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791378",
            "telephone_number": "951-354-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9675 MONTE VISTA AVE STE C",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632213",
            "telephone_number": "855-505-7467",
            "fax_number": "888-975-8926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9939 Magnolia Ave",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925033528",
            "country_code": "US",
            "telephone_number": "855-505-7467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "EUNICE",
        "middle_name": "JAEUN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "43667",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A103616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.