Individual provider Active NPI

Andrew Lee, M.D.

  • Diagnostic Radiology Physician
  • Orange, CA
National Provider Identifier
1417375486
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A139830 Issued in CA
Practice address
101 The City Drive South, Route 140
Orange, CA 92868
Phone
(714) 456-7273
Fax
(714) 456-7864
NPI assigned
Apr 6, 2014
Last updated
Jun 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A139830 CA Primary

Addresses

Primary practice location

101 The City Drive South, Route 140
Orange, CA 92868

Mailing address

101 The City Drive South, Route 140
Orange, CA 92868
Phone (714) 456-7237

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
I20190912000115 CA Practitioner - Diagnostic Radiology 6406072248 Reassigns benefits to 20 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Northeastern Ohio University College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hanford Community HospitalGroup PAC ID 7416868377, 60 clinicians
Fullerton Radiology Medical Group IncGroup PAC ID 4587632575, 55 clinicians
David C P Chen, M.D., IncGroup PAC ID 0941196422, 18 clinicians
San Joaquin Community HospitalGroup PAC ID 1557390580, 72 clinicians
Ukiah Adventist HospitalGroup PAC ID 6406816123, 136 clinicians
Simi Valley Hospital and Health Care ServicesGroup PAC ID 3173423399, 23 clinicians
United Premier Physicians IncGroup PAC ID 8527459528, 9 clinicians
Rideout Memorial HospitalGroup PAC ID 9234036088, 88 clinicians
Mother Lode Diagnostic Imaging IncGroup PAC ID 9739176892, 16 clinicians
Adventist Health TulareGroup PAC ID 4385988757, 40 clinicians

Practice addresses (Care Compare)

115 Mall Dr
Hanford, CA 93230-5786
Phone (559) 582-9000

1350 W Covina Blvd
San Dimas, CA 91773-3245
Phone (909) 599-6811

1500 E Chevy Chase Dr
Suite 201
Glendale, CA 91206-4199
Phone (818) 863-4099

1509 Wilson Ter
Glendale, CA 91206-4007
Phone (818) 409-8000

18575 Gale Ave
Suite 105
City of Industry, CA 91748-1382
Phone (626) 363-1733

2615 Chester Ave
Bakersfield, CA 93301-2014

275 Hospital Dr
Ukiah, CA 95482-4531
Phone (707) 462-3111

2975 Sycamore Dr
Simi Valley, CA 93065-1201
Phone (805) 955-6000

312 N Garfield Ave
Monterey Park, CA 91754-1707
Phone (626) 572-2889

726 4TH St
Marysville, CA 95901-5656
Phone (530) 740-1900

800 E Washington Blvd
Crescent City, CA 95531-8359
Phone (707) 464-8511

869 N Cherry St
Tulare, CA 93274-2207
Phone (559) 688-0821

9602 Stockdale Hwy
Bakersfield, CA 93311-3618
Phone (661) 395-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
96
Improvement activities
40
Cost
86.89

Merit-based Incentive Payment System (MIPS)

Final score
98.77 of 100Reported as group
Quality
80.67
Promoting interoperability
98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.35 of 100Reported as group
Quality
53.28
Promoting interoperability
98
Improvement activities
40
Cost
63.18

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

State licenses

LicenseStateTypeSpecialty
A139830CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Joaquin Community Hospital CurrentSince Oct 1, 2021 Accepting new patients
Mother Lode Diagnostic Imaging Inc Diagnostic Radiology CurrentSince Jan 9, 2024 Accepting new patients
Simi Valley Hospital and Health Care Services CurrentSince Dec 21, 2025 Accepting new patients
Radiologica Inc. Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Adventist Health Medical Center Tehachapi CurrentSince Jul 1, 2024 Accepting new patients
David C P Chen, M.D., Inc CurrentSince Nov 30, 2024 Accepting new patients
Glendale Adventist Medical Center CurrentSince Jul 15, 2025 Accepting new patients
Reedley Community Hospital CurrentSince Apr 21, 2022 Accepting new patients
UC Regents Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Sol Radiology, Inc. Diagnostic Radiology CurrentSince Nov 15, 2023 Accepting new patients
Adventist Health Medical Center Tehachapi CurrentSince Jul 1, 2024 Accepting new patients
Hanford Community Hospital CurrentSince Dec 17, 2021 Accepting new patients
San Joaquin Community Hospital CurrentSince Jul 1, 2024 Accepting new patients
Adventist Health Delano Current Accepting new patients
Advanced Radiology and Interventional Associates Inc Diagnostic Radiology CurrentSince Jan 31, 2025 Accepting new patients
Rideout Memorial Hospital CurrentSince Feb 1, 2026 Accepting new patients
San Joaquin Community Hospital CurrentSince Jul 1, 2024 Accepting new patients
Adventist Health Tulare CurrentSince Nov 1, 2022 Accepting new patients
Reedley Community Hospital CurrentSince Apr 21, 2022 Accepting new patients
Glendale Adventist Medical Center CurrentSince Jul 15, 2025 Accepting new patients
United Premier Physicians Inc Diagnostic Radiology CurrentSince Feb 24, 2022 Accepting new patients
Adventist Health Delano CurrentSince Oct 1, 2021 Accepting new patients
Fullerton Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Mar 9, 2020 Accepting new patients
UC Regents Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
C J Calvin Yang, M D a Professional Corp Diagnostic Radiology CurrentSince Feb 24, 2022 Accepting new patients
Port City Operating Company, LLC Past Accepting new patients
Advanced Medical Imaging Inc Past Accepting new patients
Adventist Health Physicians Network Past Accepting new patients
Usc University Hospital, Inc. Past Accepting new patients

Locations (25 of 47)

235 S Garfield Ave
Alhambra, CA 91801
Phone (626) 943-9985

320 S Garfield Ave
Ste 102
Alhambra, CA 91801
Phone (626) 281-0124

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

9602 Stockdale Hwy
Bakersfield, CA 93311
Phone (661) 633-5000

9350 N Loop Blvd
California City, CA 93505
Phone (760) 373-1785

5451 Walnut Ave
Chino, CA 91710
Phone (909) 464-8600

18575 Gale Ave
Ste 105
City of Industry, CA 91748
Phone (626) 363-1733

1191 Phelps Ave
Coalinga, CA 93210
Phone (559) 897-5841

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

1401 Garces Hwy
Delano, CA 93215
Phone (661) 381-7545

1849 Iron Point Rd
Ste 160
Folsom, CA 95630
Phone (916) 984-8102

700 River Dr
Fort Bragg, CA 95437
Phone (707) 961-1234

1500 E Chevy Chase Dr
Ste 201
Glendale, CA 91206
Phone (818) 863-4099

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

125 Mall Dr
Ste 305
Hanford, CA 93230
Phone (559) 537-0440

1125 Sir Francis Drk Blvd
Kentfield, CA 94904
Phone (415) 456-9680

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

726 4th St
Marysville, CA 95901
Phone (530) 491-9491

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

450 Glass Ln
Ste C
Modesto, CA 95356

730 17th St
Modesto, CA 95354
Phone (209) 248-7700

5000 San Bernardino St
Montclair, CA 91763
Phone (909) 625-4111

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/a36dfa71-4dd3-4608-9cfb-c7a63ade5531/

Organizations & group practices 31

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 31

Hospital & facility affiliations 6

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": "1396742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1417375486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 THE CITY DRIVE SOUTH, ROUTE 140",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92868",
            "telephone_number": "714-456-7237",
            "fax_number": "714-456-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 THE CITY DRIVE SOUTH, ROUTE 140",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92868",
            "telephone_number": "714-456-7273",
            "fax_number": "714-456-7864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-06",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A139830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.