Daniel Lee

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

160 E Artesia St Ste 255
Pomona, CA 91767-2921

Phone

(909) 596-4346

Fax

(909) 596-4344

NPI assigned

Mar 22, 2019

Reactivated

Jul 15, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

University of Florida College of Medicine, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Premier Orthopaedic Trauma Specialists PMCGroup PAC ID 4082992623, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: daniel.lee.1@20474.direct.athenahealth.com

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.

• Premier Orthopaedic Trauma Specialists, PMC

  • Orthopaedic Surgery Physician
  • Pomona, CA
  • NPI 1407304439
  Medicare reassignment Care Compare group
• Prime Healthcare Services - Montclair, LLC

  • General Acute Care Hospital
  • Montclair, CA
  • NPI 1992721161
  NPD
• Sports Medicine and Orthopaedic Institute

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Victorville, CA
  • NPI 1669993218
  NPD

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1417417627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 STEELY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926140919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E ARTESIA ST STE 255",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917672921",
            "telephone_number": "909-596-4346",
            "fax_number": "909-596-4344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 N Mountain Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917865194",
            "country_code": "US",
            "telephone_number": "909-596-4346",
            "fax_number": "909-596-4344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2140 Grand Ave Ste 120",
            "address_purpose": "LOCATION",
            "city": "Chino Hills",
            "state": "CA",
            "postal_code": "917096801",
            "country_code": "US",
            "telephone_number": "909-596-4346",
            "fax_number": "909-596-4344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-22",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "deactivation_date": "2024-06-09",
        "reactivation_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Lee, DMD
• Brittney Lee, LCSW
• Bryan Lee
• Bryan Xiao-Qiu Lee, MD
• Daniel Lee
• Daniel Lee
• Eunice Lee
• Ivan Lee
• Jeffrey Lee, DDS
• Jennifer H Lee

• Physician Assistant in Pomona, CA
• Providers in Pomona, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.