Individual provider Active NPI

James C Lee, DPM

  • Podiatrist
  • Anaheim, CA
National Provider Identifier
1437253663
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E3963 Issued in CA
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000E39630MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040426000417 CA Practitioner - Podiatry 1850387697 Reassigns benefits to 2 organizations
Practice locations: Anaheim, CA; Brea, CA; Garden Grove, CA; Palm Springs, CA

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
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

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

ProcedureNumber of procedures
Removal of tissue77
Removal of nail tissue624
Removal or shaving of skin growth408

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
213EG0000XCAMDPodiatrist
E3963CAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation Current Accepting new patients
Pioneer Medical Group Inc. CurrentSince Sep 2, 2008 Accepting new patients
Providence Medical Foundation CurrentSince Nov 15, 2019 Accepting new patients
Providence Medical Foundation CurrentSince Nov 15, 2019 Accepting new patients
Advanced Holistic Healthcare Inc. PastSince Mar 1, 2020 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.