Active NPI
James Lee, M.D., Inc
- Anesthesiology Physician
- Garden Grove, CA
National Provider Identifier
1376722165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A45399
- Legal business name
- JAMES LEE, M.D., INC
- Practice address
- 12601 Garden Grove Blvd # 122
Garden Grove, CA 92843-1908 - Phone
- (714) 636-0342
- Fax
- (714) 636-0391
- NPI assigned
- Oct 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James Lee, M.D.
- Title
- President
- Phone
- (714) 636-0342
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A45399 | CA | Primary |
Addresses
Primary practice location
12601 Garden Grove Blvd # 122
Garden Grove, CA 92843-1908
Mailing address
PO Box 788
Hemet, CA 92546-0788
Phone (714) 636-0342
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A453990 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
12601 Garden Grove Blvd
#122
Garden Grove, CA 92843
Phone (714) 636-0342
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Garden Grove, CA
- NPI 1033173588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1428883200000",
"number": "1376722165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 788",
"city": "HEMET",
"state": "CA",
"postal_code": "925460788",
"telephone_number": "714-636-0342",
"fax_number": "714-636-0391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12601 GARDEN GROVE BLVD # 122",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928431908",
"telephone_number": "714-636-0342",
"fax_number": "714-636-0391"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES LEE, M.D., INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-29",
"last_updated": "2015-04-13",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-636-0342",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "CA",
"license": "A45399",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A453990",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.