Active NPI
Amy Lee, MD, FACE, FACGS
- Internal Medicine Physician
- Riverside, CA
National Provider Identifier
1639135098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A38003
- Practice address
- 3975 Jackson St
Suite 105
Riverside, CA 92503-3901 - Phone
- (951) 343-3388
- Fax
- (951) 343-3388
- NPI assigned
- Apr 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 103002 | MO | |
| Internal Medicine Physician | 207R00000X | A38003 | CA | Primary |
Addresses
Primary practice location
3975 Jackson St
Suite 105
Riverside, CA 92503-3901
Mailing address
3975 Jackson Street
Suite 105
Riverside, CA 92503
Phone (951) 343-3388
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quantum Healthcare Medical Associates Inc. | Internal Medicine | Past | Accepting new patients |
| Joel a Pengson, MD, a Medical Corporation | Internal Medicine | Past | Accepting new patients |
| Inland Hospitalists Med GP | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Riverside, CA
- NPI 1548254980
-
- Internal Medicine Physician
- Moreno Valley, CA
- NPI 1033204235
-
- Hospitalist Physician
- Colton, CA
- NPI 1568490597
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363737600000",
"number": "1639135098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3975 JACKSON STREET",
"address_2": "SUITE 105",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "92503",
"telephone_number": "951-343-3388",
"fax_number": "951-343-3388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3975 JACKSON ST",
"address_2": "SUITE 105",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925033901",
"telephone_number": "951-343-3388",
"fax_number": "951-343-3388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "AMY",
"name_prefix": "Dr.",
"credential": "MD, FACE, FACGS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-25",
"last_updated": "2013-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "103002",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A38003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.