NPIMap

Individual provider Active NPI

John Young Lee, M.D.

  • Urology Physician
  • West Covina, CA
National Provider Identifier
1568648608
Registry record updated Jul 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A112929 Issued in CA
Practice address
421 E Merced Ave
West Covina, CA 91790-5023
Phone
(626) 918-1881
Fax
(626) 214-9290
NPI assigned
Jan 19, 2008
Last updated
Jul 11, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 001462 GA
Urology Physician 208800000X A112929 CA Primary

Addresses

Primary practice location

421 E Merced Ave
West Covina, CA 91790-5023

Mailing address

421 E Merced Ave
West Covina, CA 91790-5023
Phone (626) 918-1881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110823000279 CA Practitioner - Urology 7113197542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Chicago, Pritzker School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Covina Valley Urologic Medical Group, Inc.Group PAC ID 4880593284, 4 clinicians

Practice addresses (Care Compare)

421 E Merced Ave
West Covina, CA 91790-5023
Phone 6269181881114

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
91.06
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A112929CAMDUrology Physician
001462GAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Covina Valley Urologic Medical Group, Inc. CurrentSince Nov 28, 2016 Accepting new patients
Casa Colina Hospital and Centers for Healthcare Current Accepting new patients
Citrus Valley Urologic Medical Group, Inc. Urology PastSince Nov 28, 2016 Accepting new patients
San Dimas Community Hospital, Inc. Past Accepting new patients
THC - Orange County LLC Past Accepting new patients
Emanate Health Foothill Presbyterian Hospital Past Accepting new patients

Locations

1330 W Covina Blvd
Ste 104
San Dimas, CA 91773
Phone (909) 599-7525

421 E Merced Ave
West Covina, CA 91790
Phone (626) 918-1881

Interoperability endpoints

  • Direct secure messaging: casacolina@direct.casacolina.org
  • Direct secure messaging: john.lee.p1@direct.dvmg.nextgenshare.com
  • Direct secure messaging: johnlee@cvumg.medalliesdirect.net

Organizations & group practices 6

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 5

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": "1200700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310342400000",
    "number": "1568648608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 E MERCED AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917905023",
            "telephone_number": "626-918-1881",
            "fax_number": "626-214-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 E MERCED AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917905023",
            "telephone_number": "626-918-1881",
            "fax_number": "626-214-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JOHN",
        "middle_name": "YOUNG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-19",
        "last_updated": "2011-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "001462",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A112929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.