Active NPI
Roland Robert Lee, M.D.
- Neuroradiology Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuroradiology Physician
- License
- G57800
- Practice address
- VA Med Center/Ucsd Radiology # Mc114
3350 La Jolla Village Drive
San Diego, CA 92161-0001 - Phone
- (858) 552-8585
- Fax
- (858) 552-7565
- NPI assigned
- Jul 21, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | G57800 | CA | |
| Neuroradiology Physician | 2085N0700X | G57800 | CA | Primary |
Addresses
Primary practice location
VA Med Center/Ucsd Radiology # Mc114
3350 La Jolla Village Drive
San Diego, CA 92161-0001
Mailing address
VA Med Center/Ucsd Radiology # Mc114
3350 La Jolla Village Drive
San Diego, CA 92161-0001
Phone (858) 552-8585
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G578000 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3195 Voigt Dr
La Jolla, CA 92093-0001
Phone (800) 926-8273
447 N El Camino Real
Encinitas, CA 92024-1302
Phone (858) 657-7000
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.77 of 100
- Quality
- 84.13
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.88
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57800 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Neuroradiology | Current | Accepting new patients |
| Regents of the University of California Ucsd Department of Radiology | Diagnostic Radiology | Current | Accepting new patients |
| Regents of the University of California | Past | Accepting new patients | |
| Regents of the University of California Ucsd Head and Neck Surgery | Past | Accepting new patients | |
| Cedars-Sinai Medical Center | Past | Accepting new patients |
Locations
9452 Medical Center Dr
La Jolla, CA 92037
Phone (858) 246-2016
9300 Campus Point Dr
La Jolla, CA 92037
Phone (619) 957-7000
3195 Voigt Dr
La Jolla, CA 92093
8929 University Center Ln
San Diego, CA 92122
Phone (855) 543-0333
4510 Executive Dr
Ste 201
San Diego, CA 92121
Phone (858) 457-7994
4250 1st Ave
San Diego, CA 92103
Phone (415) 290-8175
330 Lewis St
Ste 400
San Diego, CA 92103
Phone (619) 471-9250
6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130
8929 University Center Ln
Ste 101
San Diego, CA 92122
Phone (858) 457-4227
408 Dickinson St
San Diego, CA 92103
Phone (619) 471-0513
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754
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 and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1558463927
Neuroradiology
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1225213655
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- Pharmacy
- San Diego, CA
- NPI 1598786576
-
- Otolaryngology Physician
- San Diego, CA
- NPI 1679509962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605657600000",
"number": "1639190028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "VA MED CENTER/UCSD RADIOLOGY # MC114",
"address_2": "3350 LA JOLLA VILLAGE DRIVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921610001",
"telephone_number": "858-552-8585",
"fax_number": "858-552-7565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VA MED CENTER/UCSD RADIOLOGY # MC114",
"address_2": "3350 LA JOLLA VILLAGE DRIVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921610001",
"telephone_number": "858-552-8585",
"fax_number": "858-552-7565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ROLAND",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2020-11-18",
"certification_date": "2020-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G57800",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "CA",
"license": "G57800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G578000",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.