NPIMap

Organization Active NPI

James C. Lee, DPM a Professional Corp

  • Foot Surgery Podiatrist
  • Anaheim, CA
National Provider Identifier
1376926808
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
E3963 Issued in CA
Legal business name
JAMES C. LEE, DPM A PROFESSIONAL CORP
Practice address
5475 E la Palma Ave
Suite 208
Anaheim, CA 92807-2075
Phone
(714) 777-0750
Fax
(714) 777-8291
NPI assigned
Jul 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Authorized official

Name
James Chinuk Lee, DPM
Title
Ceo
Phone
(714) 333-5837

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X E3963 CA Primary

Addresses

Primary practice location

5475 E la Palma Ave
Suite 208
Anaheim, CA 92807-2075

Mailing address

5475 E la Palma Ave
Suite 208
Anaheim, CA 92807-2075
Phone (714) 777-0750

Other identifiers 1

IdentifierTypeStateIssuer
000E39630MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1376926808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5475 E LA PALMA AVE",
            "address_2": "SUITE 208",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928072075",
            "telephone_number": "714-777-0750",
            "fax_number": "714-777-8291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5475 E LA PALMA AVE",
            "address_2": "SUITE 208",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928072075",
            "telephone_number": "714-777-0750",
            "fax_number": "714-777-8291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES C. LEE, DPM A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CHINUK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-333-5837",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E3963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E39630",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.

Verify at the official NPI Registry.