Individual provider Active NPI

Ronald Lee, MD

  • Family Medicine Physician
  • Irvine, CA
National Provider Identifier
1417954306
Registry record updated Nov 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A45368 Issued in CA
Practice address
11 Technology Dr
Irvine, CA 92618-2302
Phone
(855) 206-6764
Fax
(949) 923-3575
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X A45368 CA
Family Medicine Physician 207Q00000X A45368 CA Primary

Addresses

Primary practice location

11 Technology Dr
Irvine, CA 92618-2302

Mailing address

11 Technology Dr
Irvine, CA 92618-2302
Phone (855) 206-6764

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
I20151006002798 CA Practitioner - Family Practice 6103806278 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
GN Medical Associates, IncGroup PAC ID 5092605816, 40 clinicians

Practice addresses (Care Compare)

3090 Bristol St
Suite 200
Costa Mesa, CA 92626-3061
Phone (888) 789-9585

Hospital & facility affiliations

  • Omnicare Home Health, Inc Home health agency, Torrance, CA, CCN 059688
  • Alamitos West Health & Rehabilitation Nursing home, Los Alamitos, CA, CCN 056169
  • Seal Beach Health and Rehabilitation Center Nursing home, Seal Beach, CA, CCN 056010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A45368CAMDGeriatric Medicine (Family Medicine) Physician
45368CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
GN Medical Associates, Inc. Family Medicine CurrentSince Dec 11, 2023 Accepting new patients
Centers for Family Medicine GP Family Medicine CurrentSince Oct 11, 2014 Accepting new patients
Care Partners California Medical PC Geriatric Medicine CurrentSince Jul 1, 2025 Accepting new patients
Standard Care Medical Associates Inc Family Medicine CurrentSince May 1, 2026 Accepting new patients
Careconnectmd Ca PC Family Medicine CurrentSince Dec 11, 2023 Accepting new patients
Talbert Medical Group, P.C. Family Medicine Past Accepting new patients
Optum Palliative and Hospice Care, Inc. Past Accepting new patients

Locations

2323 W Lincoln Ave
Ste 205
Anaheim, CA 92801
Phone (714) 230-6351

495 E Rincon St
Ste 105
Corona, CA 92879
Phone (888) 969-9808

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

11 Technology Dr
Irvine, CA 92618
Phone (855) 206-6764

3460 Katella Ave
Los Alamitos, CA 90720
Phone (310) 594-6599

1750 Montgomery St
Fl 1
San Francisco, CA 94111
Phone (714) 619-8777

3401 W Sunflower Ave
#250
Santa Ana, CA 92704
Phone (415) 848-8258

473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479859200000",
    "number": "1417954306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 TECHNOLOGY DR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182302",
            "telephone_number": "855-206-6764",
            "fax_number": "949-923-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 TECHNOLOGY DR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182302",
            "telephone_number": "855-206-6764",
            "fax_number": "949-923-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2016-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A45368",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A45368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.