Individual provider Active NPI

Katherine Bao-Shian Lee, M.D., M.A.

  • Dermatology Physician
  • Laguna Hills, CA
National Provider Identifier
1265693691
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A120778 Issued in CA
Practice address
24431 Calle de la Louisa
Suite 200
Laguna Hills, CA 92653-7641
Phone
(949) 266-0216
Fax
(949) 266-0216
NPI assigned
Jun 18, 2008
Last updated
Jun 11, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A120778 CA Primary

Addresses

Primary practice location

24431 Calle de la Louisa
Suite 200
Laguna Hills, CA 92653-7641

Mailing address

24431 Calle de la Louisa
Suite 200
Laguna Hills, CA 92653-7641
Phone (949) 266-0216

Other names 1

  • Dr. Kathy Bao-Shian Lee Other name

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
I20121011000782 CA Practitioner - Dermatology 0143479949 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Washington University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uci Department of DermatologyGroup PAC ID 7113920992, 38 clinicians
Katherine Bao-Shian Lee MD a Professional CorporationGroup PAC ID 4880819879, 2 clinicians

Practice addresses (Care Compare)

101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-7004

24431 Calle de la Louisa
Suite 200
Laguna Hills, CA 92653-7641
Phone (949) 266-0216

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions558
Removal or shaving of skin growth1-10
Skin biopsy110

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Uci Department of Dermatology Dermatology CurrentSince Jun 11, 2014 Accepting new patients
Katherine Bao-Shian Lee, M.D., a Professional Corporation Dermatology CurrentSince Jun 1, 2014 Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

24431 Calle de la Louisa
Ste 200
Laguna Hills, CA 92653
Phone (949) 266-0216

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

101 The City Dr S
Ste 23
Orange, CA 92868

200 S Manchester Ave
Ste 650
Orange, CA 92868
Phone (714) 456-3077

18637 Yorba Linda Blvd
Yorba Linda, CA 92886
Phone (714) 612-1192

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1265693691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24431 CALLE DE LA LOUISA",
            "address_2": "SUITE 200",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537641",
            "telephone_number": "949-266-0216",
            "fax_number": "949-266-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24431 CALLE DE LA LOUISA",
            "address_2": "SUITE 200",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537641",
            "telephone_number": "949-266-0216",
            "fax_number": "949-266-0216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KATHERINE",
        "middle_name": "BAO-SHIAN",
        "name_prefix": "Dr.",
        "credential": "M.D., M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-18",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A120778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "LEE",
            "middle_name": "BAO-SHIAN",
            "prefix": "DR.",
            "credential": "M.D., M.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.