Individual provider Active NPI

William James Lee, MPAS

  • Medical Physician Assistant
  • Murrieta, CA
National Provider Identifier
1437287315
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA13497 Issued in CA
Practice address
40663 Murrieta Hot Springs Rd Ste C3
Murrieta, CA 92562-9015
Phone
(951) 677-5341
Fax
(951) 387-8004
NPI assigned
Mar 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 13497 CA
Medical Physician Assistant 363AM0700X PA13497 CA Primary

Addresses

Primary practice location

40663 Murrieta Hot Springs Rd Ste C3
Murrieta, CA 92562-9015

Mailing address

2409 Artesia Blvd FL 2
Redondo Beach, CA 90278-3207
Phone (424) 276-4700

Other practice location 1

11302 Independence Rd
Los Alamitos, CA 90720-5155
Phone (562) 254-6529

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140716001053 CA Practitioner - Physician Assistant 4385869973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Laser Center PC a Professional Medical CorporationGroup PAC ID 9537181185, 81 clinicians

Practice addresses (Care Compare)

2100 E Tahquitz Canyon Way
Palm Springs, CA 92262-7006
Phone (760) 841-3220

621 W Line St
Suite 105
Bishop, CA 93514-3320
Phone (760) 873-8781

74320 Hwy 111
Suite 100
Palm Desert, CA 92260-4140
Phone (760) 423-5610

Merit-based Incentive Payment System (MIPS)

Final score
91.69 of 100Reported as group
Quality
91.59
Promoting interoperability
94
Improvement activities
40
Cost
76.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA13497CAMDMedical Physician Assistant

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1437287315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 ARTESIA BLVD FL 2",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783207",
            "telephone_number": "424-276-4700",
            "fax_number": "424-903-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40663 MURRIETA HOT SPRINGS RD STE C3",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629015",
            "telephone_number": "951-677-5341",
            "fax_number": "951-387-8004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11302 Independence Rd",
            "address_purpose": "LOCATION",
            "city": "Los Alamitos",
            "state": "CA",
            "postal_code": "907205155",
            "country_code": "US",
            "telephone_number": "562-254-6529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "WILLIAM",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "MPAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "13497",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA13497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.