Active NPI
James C Lee, DPM
- Podiatrist
- Anaheim, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E3963
- Practice address
- 5475 E la Palma Ave
Ste 208
Anaheim, CA 92807-6009 - Phone
- (714) 777-0750
- Fax
- (714) 777-8291
- NPI assigned
- Sep 8, 2006
- Last updated
- Jul 1, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 213EG0000X | CA | |
| Podiatrist | 213E00000X | E3963 | CA | Primary |
Addresses
Primary practice location
5475 E la Palma Ave
Ste 208
Anaheim, CA 92807-6009
Mailing address
75 Remittance Dr Dept 6008
Chicago, IL 60675-6008
Phone (562) 282-1419
Other practice location 1
2141 N Harbor Blvd Ste 35000
Fullerton, CA 92835-3831
Phone (714) 626-8630
Other practice location 2
2501 E Chapman Ave
Orange, CA 92869-3204
Phone (714) 628-3230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000E39630 | Medicaid | CA |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 E Valencia Mesa Dr
Suite 105
Fullerton, CA 92835-3816
Phone (714) 871-3006
1950 Sunny Crest Dr
Suite 2900
Fullerton, CA 92835-3641
Phone (714) 992-5350
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 77 |
| Removal of nail tissue | 624 |
| Removal or shaving of skin growth | 408 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 213EG0000X | CA | MD | Podiatrist |
| E3963 | CA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Foundation | Current | Accepting new patients | |
| Pioneer Medical Group Inc. | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Advanced Holistic Healthcare Inc. | Past | Accepting new patients | |
| St Jude Hospital Inc | Past | Accepting new patients | |
| St Francis Medical Center | Past | Accepting new patients | |
| Verdugo Multi-Specialty Medical Group, Inc. | Past | Accepting new patients | |
| Michael M Dao MD Inc | Past | Accepting new patients |
Locations
5475 E La Palma Ave
Ste 208
Anaheim, CA 92807
Phone (562) 761-4388
10234 Rosecrans Ave
Bellflower, CA 90706
Phone (562) 920-1632
100 E Valencia Mesa Dr
#1051182
Fullerton, CA 92835
Phone (714) 446-5200
100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200
1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835
2141 N Harbor Blvd
Ste 35000
Fullerton, CA 92835
Phone (714) 626-8630
2220 Clark Ave
Long Beach, CA 90815
Phone (562) 597-4181
2501 E Chapman Ave
Orange, CA 92869
Phone (714) 628-3300
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 10
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.
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- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- Multi-Specialty Clinic/Center
- Bellflower, CA
- NPI 1548303589
-
- Foot Surgery Podiatrist
- Anaheim, CA
- NPI 1376926808
-
- General Practice Physician
- Diamond Bar, CA
- NPI 1285890624
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
-
- General Practice Physician
- Los Angeles, CA
- NPI 1184959793
-
dba Healthcare System 2000s
- Family Medicine Physician
- Garden Grove, CA
- NPI 1689797920
-
- Long Term Care Hospital
- Lynwood, CA
- NPI 1346378270
-
dba Providence St. Jude Medical Center
- General Acute Care Hospital
- Fullerton, CA
- NPI 1194926279
-
- General Practice Physician
- Los Angeles, CA
- NPI 1487869533
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence St. Jude Medical Center
- General Acute Care Hospital
- Fullerton, CA
- NPI 1194926279
-
dba Providence St. Jude Medical Center
- General Acute Care Hospital
- Brea, CA
- NPI 1891904942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593561600000",
"number": "1437253663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 REMITTANCE DR DEPT 6008",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606756008",
"telephone_number": "562-282-1419",
"fax_number": "562-920-4642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5475 E LA PALMA AVE",
"address_2": "STE 208",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928076009",
"telephone_number": "714-777-0750",
"fax_number": "714-777-8291"
}
],
"practiceLocations": [
{
"address_1": "2141 N Harbor Blvd Ste 35000",
"address_purpose": "LOCATION",
"city": "Fullerton",
"state": "CA",
"postal_code": "928353831",
"country_code": "US",
"telephone_number": "714-626-8630",
"fax_number": "714-626-8659",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2501 E Chapman Ave",
"address_purpose": "LOCATION",
"city": "Orange",
"state": "CA",
"postal_code": "928693204",
"country_code": "US",
"telephone_number": "714-628-3230",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "JAMES",
"middle_name": "C",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-08",
"last_updated": "2020-07-01",
"certification_date": "2020-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "213EG0000X",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"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, 2020; 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.