Individual provider Active NPI

Jonathan K. Lee, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Redlands, CA
National Provider Identifier
1326012154
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
G69750 Issued in CA
Practice address
547 Shadowbrook CT
Redlands, CA 92374-6474
Phone
(909) 645-1986
Fax
(909) 335-5767
NPI assigned
Feb 16, 2006
Last updated
Dec 29, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X G69750 CA
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X G69750 CA Primary

Addresses

Primary practice location

547 Shadowbrook CT
Redlands, CA 92374-6474

Mailing address

547 Shadowbrook CT
Redlands, CA 92374-6474
Phone (909) 645-1986

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
I20041129000538 CA Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 2365407657 Reassigns benefits to 2 organizations
Practice locations: San Bernardino, CA

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Loma Linda University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1901 W Lugonia Ave
Redlands, CA 92374-9703
Phone (909) 557-1600

1901 W Lugonia Ave
Suite 230
Redlands, CA 92374-9705

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
San Bernardino Medical Orthopaedic Group, Inc. CurrentSince Mar 1, 2002 Accepting new patients
Healthpointe Medical Group, Inc. CurrentSince Jun 29, 2009 Accepting new patients
San Bernardino Medical Orthopaedic Group, Inc. CurrentSince Mar 1, 2002 Accepting new patients
Healthpointe Medical Group, Inc. Current Accepting new patients
University of California Irvine Past Accepting new patients
San Bernardino Medical Orthopaedic Group, Inc. Past Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients
Superior Multi-Specialty Medical Group Inc of Ca Past Accepting new patients
Loma Linda University Children's Hospital Past Accepting new patients
Ahmc Whittier Hospital Medical Center LP Past Accepting new patients
San Gorgonio Memorial Hospital Past Accepting new patients
Temecula Valley Hospital Inc Past Accepting new patients
Dignity Health Past Accepting new patients
Community Hospital of San Bernardino Past Accepting new patients

Locations

845 Highland Springs Ave
Ste 101
Beaumont, CA 92223
Phone (909) 500-7860

290 N 10th St
Ste 100
Colton, CA 92324
Phone (909) 264-2500

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1400

1011 E Devonshire Ave
Hemet, CA 92543
Phone (714) 848-1133

3889 W Stetson Ave
Ste 100
Hemet, CA 92545
Phone (951) 652-1600

3889 W Stetson Ave
Ste 200
Hemet, CA 92545

16702 Valley View Ave
La Mirada, CA 90638
Phone (562) 921-0341

25395 Hancock Ave
Ste 240
Murrieta, CA 92562
Phone (951) 239-6077

25395 Hancock Ave
Ste 250A
Murrieta, CA 92562

754 N Mountain Ave
Ontario, CA 91762
Phone (909) 460-4155

2226 Medical Center Dr
Ste 102
Perris, CA 92571
Phone (951) 657-1400

1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810

1801 Orange Tree Ln
Ste 200
Redlands, CA 92374
Phone (909) 557-1607

1801 Orange Tree Ln
Ste 240
Redlands, CA 92374

1901 W Lugonia Ave
Redlands, CA 92374
Phone (714) 714-6019

1901 W Lugonia Ave
Ste 120
Redlands, CA 92374
Phone (909) 557-1626

1901 W Lugonia Ave
Ste 230
Redlands, CA 92374
Phone (909) 557-1607

1901 W Lugonia Ave
Ste 310
Redlands, CA 92374
Phone (909) 793-2964

1901 W Lugonia Ave
Ste 320
Redlands, CA 92374

4234 Riverwalk Pkwy
Ste 200
Riverside, CA 92505
Phone (951) 977-2500

4500 Brockton Ave
Riverside, CA 92501
Phone (951) 394-3055

4500 Brockton Ave
Ste 306
Riverside, CA 92501
Phone (951) 275-9000

6180 Brockton Ave
Ste 204
Riverside, CA 92506
Phone (909) 684-6784

2131 Elks Dr
Ste 200
San Bernardino, CA 92404
Phone (909) 726-6100

27455 Tierra Alta Way
Ste A
Temecula, CA 92590
Phone (951) 699-5282

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 14

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.

View all 14

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": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325116800000",
    "number": "1326012154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 SHADOWBROOK CT",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923746474",
            "telephone_number": "909-645-1986",
            "fax_number": "909-335-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 SHADOWBROOK CT",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923746474",
            "telephone_number": "909-645-1986",
            "fax_number": "909-335-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JONATHAN",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2011-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "G69750",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "G69750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.