Individual provider Active NPI

Connie Lee, M.D.

  • Surgery Physician
  • Bakersfield, CA
National Provider Identifier
1457670465
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
147250 Issued in CA
Practice address
2700 Chester Ave
Bakersfield, CA 93301-2017
Phone
(661) 637-8720
NPI assigned
Jun 1, 2010
Last updated
Jul 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 147250 CA Primary

Addresses

Primary practice location

2700 Chester Ave
Bakersfield, CA 93301-2017

Mailing address

2700 Chester Ave
The Breast Center
Bakersfield, CA 93301
Phone (661) 637-8720

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
I20180913002844 CA Practitioner - Other (Physician)Practitioner - General Surgery 2264731611 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Undefined Physician Type (Specify)Also: General Surgery
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jessica a. Rayhanabad, M.D. IncGroup PAC ID 9133381536, 2 clinicians

Practice addresses (Care Compare)

3791 Katella Ave
Suite 201
Los Alamitos, CA 90720-2016
Phone (562) 206-1312

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
147250CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Joaquin Community Hospital CurrentSince Oct 1, 2018 Accepting new patients
Jessica a. Rayhanabad, M.D. Inc Surgery CurrentSince Aug 1, 2022 Accepting new patients
San Joaquin Community Hospital CurrentSince Oct 1, 2018 Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients

Locations

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

2700 Chester Ave
Bakersfield, CA 93301
Phone (661) 637-8720

2701 Chester Ave
Ste 101
Bakersfield, CA 93301
Phone (661) 716-9400

9602 Stockdale Hwy
Bakersfield, CA 93311
Phone (661) 633-5000

3747 Worsham Ave
Ste 200
Long Beach, CA 90808
Phone (562) 548-7530

3791 Katella Ave
Ste 201
Los Alamitos, CA 90720
Phone (562) 206-1312

12340 Seal Beach Blvd
#B421
Seal Beach, CA 90740

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: clee739143@direct.memorialcare.org

Organizations & group practices 5

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 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": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1457670465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 CHESTER AVE",
            "address_2": "THE BREAST CENTER",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93301",
            "telephone_number": "661-637-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 CHESTER AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012017",
            "telephone_number": "661-637-8720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CONNIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-01",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "147250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.