Active NPI
John Kim Lee
- Neurology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- A167333
- Practice address
- 100 UCLA Medical Plaza Suite 425
Los Angeles, CA 90095-1200 - Phone
- (310) 794-1195
- NPI assigned
- Jun 25, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 2024-02491 | NC | |
| Neurology Physician | 2084N0400X | 101951 | GA | |
| Neurology Physician | 2084N0400X | 49162 | AL | |
| Neurology Physician | 2084N0400X | 0101283348 | VA | |
| Neurology Physician | 2084N0400X | ME169938 | FL | |
| Neurology Physician | 2084N0400X | 25MA12347000 | NJ | |
| Neurology Physician | 2084N0400X | 78972 | CT | |
| Neurology Physician | 2084N0400X | C1-0028413 | DE | |
| Neurology Physician | 2084N0400X | 16635 | SD | |
| Neurology Physician | 2084N0400X | 330962 | NY | |
| Neurology Physician | 2084N0400X | MD600001698 | DC | |
| Neurology Physician | 2084N0400X | A167333 | CA | Primary |
| Neurology Physician | 2084N0400X | MD485968 | PA | |
| Neurology Physician | 2084N0400X | D0102129 | MD | |
| Neurology Physician | 2084N0400X | 92677 | SC |
Addresses
Primary practice location
100 UCLA Medical Plaza Suite 425
Los Angeles, CA 90095-1200
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NY, CT, PA, NJ, DC, SC, VA, GA, NC, FL, SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 12
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Drexel University College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 E 77TH St
New York, NY 10075-1850
Phone (212) 434-2000
100 Medical PLZ
Suite 425
Los Angeles, CA 90095-0001
Phone (310) 794-1500
100 Retreat Ave
Suite 302
Hartford, CT 06106-2528
Phone (973) 882-3456
1304 Sunset Blvd
West Columbia, SC 29169-5914
Phone (973) 882-3456
1330 Piccard Dr
Suite 102
Rockville, MD 20850-4372
Phone (973) 882-3456
142 S Main St
Danville, VA 24541-2922
Phone (973) 882-3456
150 Medical PLZ
Los Angeles, CA 90095-0001
Phone (310) 825-9989
1648 Huntingdon Pike
Meadowbrook, PA 19046-8001
Phone (973) 882-3456
200 UCLA Medical PLZ
Suite 120
Los Angeles, CA 90095-0001
Phone (310) 206-6931
215 Anamaria Dr
Rapid City, SD 57701-7376
Phone 8883290807101
300 Medical Plaza
B200
Los Angeles, CA 90095-0001
Phone (310) 794-1195
300 Medical PLZ
Los Angeles, CA 90095-0001
3201 Edwards Mill Rd
Suite 141 485
Raleigh, NC 27612-5385
Phone (888) 329-0807
400 W Peachtree St NW
Suite 400
Atlanta, GA 30308-3536
Phone (888) 329-0807
655 W 8TH St
Jacksonville, FL 32209-6511
Phone (973) 882-3456
700 US Hwy 46
Suite 420
Fairfield, NJ 07004-1532
Phone (973) 882-3456
7300 Medical Ctr Dr
West Hills, CA 91307-1902
Phone (818) 676-4000
757 Westwood Blvd
Los Angeles, CA 90095-8358
Phone (310) 825-8021
9920 Talbert Ave
Fountain Valley, CA 92708-5153
Phone (714) 378-7000
Hospital & facility affiliations
- Ronald Reagan UCLA Medical Center
- Santa Monica - UCLA Med Ctr & Orthopaedic Hospital
- Wellstar Kennestone Regional Medical Center
- Maimonides Medical Center
- Virginia Hospital Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.73 of 100
- Quality
- 86.41
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 67
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49162 | AL | MD | Neurology Physician |
| A167333 | CA | MD | Neurology Physician |
| MD600001698 | DC | MD | Neurology Physician |
| C1-0028413 | DE | MD | Neurology Physician |
| ME169938 | FL | MD | Neurology Physician |
| 101951 | GA | MD | Neurology Physician |
| D0102129 | MD | MD | Neurology Physician |
| 25MA12347000 | NJ | MD | Neurology Physician |
| 92677 | SC | MD | Neurology Physician |
| 16635 | SD | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurophysiologic Interpretive Medicine PLLC | Neurology | Current | Accepting new patients |
| Neuroshield Network SE LLC | Current | Accepting new patients | |
| Neurophysiologic Interpretive Specialists LLC | Neurology | Current | Accepting new patients |
| The Regents of the University of California | Neurology | Current | Accepting new patients |
| The Regents of the University of California | Neurology | Current | Accepting new patients |
| The Regents of the University of California | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Past | Accepting new patients | |
| New York City Health and Hospitals Corporation | Past | Accepting new patients | |
| New York City Health and Hospitals Corporation | Past | Accepting new patients | |
| UCLA Medical Group | Neurology | Past | Accepting new patients |
| New York City Health and Hospitals Corporation | Past | Accepting new patients | |
| County of Santa Clara | Past | Accepting new patients |
Locations
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
300 Medical Plz
Ste B200
Los Angeles, CA 90095
Phone (310) 794-6596
File 2939
Los Angeles, CA 90074
Phone (310) 794-6596
100 UCLA Medical Plz
Ste 425
Los Angeles, CA 90024
Phone (310) 794-1500
100 Retreat Ave
Ste 302
Hartford, CT 06106
Phone (860) 266-1845
655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680
201 14th St SW
Largo, FL 33770
Phone (727) 588-5222
400 W Peachtree St NW
Ste 400
Atlanta, GA 30308
1330 Piccard Dr
Ste 102
Rockville, MD 20850
Phone (301) 208-7350
3201 Edwards Mill Rd
Ste 141485
Raleigh, NC 27612
700 US Highway 46
Ste 420
Fairfield, NJ 07004
100 E 77th St
New York, NY 10075
Phone (212) 434-2606
101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100
1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413
1304 Sunset Blvd
West Columbia, SC 29169
Phone (803) 594-3300
215 Anamaria Dr
Rapid City, SD 57701
Phone (605) 721-4700
142 S Main St
Danville, VA 24541
Phone (434) 799-2100
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- jlee803607@direct.memorialcare.org
Organizations & group practices 12
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.
-
- Neurology Physician
- Los Angeles, CA
- NPI 1437117074
-
- Neurology Physician
- Fairfield, NJ
- NPI 1780827162
CT, DC, PA
-
- Clinical Neurophysiology Physician
- Fairfield, NJ
- NPI 1538600606
FL, GA, NC, SC, SD, VA
-
- Neurology Physician
- Santa Monica, CA
- NPI 1114557295
-
- Land Ambulance
- Los Angeles, CA
- NPI 1962219410
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1043224355
-
- General Acute Care Hospital
- Elmhurst, NY
- NPI 1063426377
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1427063270
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1679587679
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1427055839
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1902803315
-
- General Acute Care Hospital
- Marietta, GA
- NPI 1649248626
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
-
- General Acute Care Hospital
- Arlington, VA
- NPI 1790785996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759104000000",
"number": "1497240220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 UCLA MEDICAL PLAZA SUITE 425",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900951200",
"telephone_number": "310-794-1195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "JOHN",
"middle_name": "KIM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-25",
"last_updated": "2025-09-29",
"certification_date": "2025-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NC",
"license": "2024-02491",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "GA",
"license": "101951",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "AL",
"license": "49162",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "VA",
"license": "0101283348",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME169938",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NJ",
"license": "25MA12347000",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CT",
"license": "78972",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "DE",
"license": "C1-0028413",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "SD",
"license": "16635",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "330962",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "DC",
"license": "MD600001698",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "A167333",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PA",
"license": "MD485968",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MD",
"license": "D0102129",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "SC",
"license": "92677",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.