Active NPI
Victor Lee, DC, L.AC.
- Acupuncturist
- Newport Beach, CA
National Provider Identifier
1306131008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 13964
- Practice address
- 1601 Dove St Ste 185
Newport Beach, CA 92660-2441 - Phone
- (949) 288-3665
- NPI assigned
- Jun 10, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC 31707 | CA | |
| Acupuncturist | 171100000X | AC 13964 | CA | Primary |
Addresses
Primary practice location
1601 Dove St Ste 185
Newport Beach, CA 92660-2441
Mailing address
155 Tapestry
Irvine, CA 92603-0684
Phone (949) 923-8882
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC 31707 | CA | MD | Chiropractor |
| AC 13964 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Medical Group | Chiropractor | Past | Accepting new patients |
| Eastern Medical Group, Inc. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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": "1307664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569542400000",
"number": "1306131008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 TAPESTRY",
"city": "IRVINE",
"state": "CA",
"postal_code": "926030684",
"telephone_number": "949-923-8882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 DOVE ST STE 185",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602441",
"telephone_number": "949-288-3665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "VICTOR",
"name_prefix": "Dr.",
"credential": "DC, L.AC.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-10",
"last_updated": "2019-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC 31707",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 13964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.