Individual provider Active NPI

Phillip Howard Anderson Lee, M.D.

  • Dermatology Physician
  • Pasadena, CA
National Provider Identifier
1578628731
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A84665 Issued in CA
Practice address
401 S Fair Oaks Ave
Pasadena, CA 91105-2603
Phone
(626) 405-7221
Fax
(626) 405-7208
NPI assigned
Dec 27, 2006
Last updated
Feb 6, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A84665 CA Primary

Addresses

Primary practice location

401 S Fair Oaks Ave
Pasadena, CA 91105-2603

Mailing address

401 S Fair Oaks Ave
Pasadena, CA 91105-2603
Phone (626) 405-7221

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
I20070314000295 CA Practitioner - Dermatology 9739282633 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, San Diego School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phillip H a Lee MD and Center for Advanced DermatologyGroup PAC ID 0345545943, 4 clinicians
Center for Advanced Dermatology IncGroup PAC ID 5890888184, 3 clinicians

Practice addresses (Care Compare)

245 Fair Oaks Ave
South Pasadena, CA 91030-1814
Phone (626) 333-7773

301 W Huntington Dr
Suite 215
Arcadia, CA 91007-1528
Phone (626) 446-4663

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision29
Removal of tissue1-10
Removal of skin lesions1265
Removal of skin cancer139
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy257

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
84665CAMDPharmacist
A84665CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phillip H a Lee MD and Center for Advanced Dermatology CurrentSince Jan 11, 2016 Accepting new patients
Healthcare Partners Affiliates Medical Group Dermatology CurrentSince Jan 2, 2007 Accepting new patients
Center for Advanced Dermatology Inc. Dermatology CurrentSince Dec 7, 2012 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jan 2, 2007 Accepting new patients
Usc Arcadia Hospital Past Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients

Locations

301 W Huntington Dr
Ste 215
Arcadia, CA 91007
Phone (626) 294-4866

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

1025 W Olympic Blvd
Los Angeles, CA 90015
Phone (213) 623-2225

401 S Fair Oaks Ave
Pasadena, CA 91105
Phone (323) 720-1144

245 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 333-7773

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1578628731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S FAIR OAKS AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052603",
            "telephone_number": "626-405-7221",
            "fax_number": "626-405-7208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S FAIR OAKS AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052603",
            "telephone_number": "626-405-7221",
            "fax_number": "626-405-7208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "PHILLIP",
        "middle_name": "HOWARD ANDERSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A84665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.