Individual provider Active NPI

Roland Robert Lee, M.D.

  • Neuroradiology Physician
  • San Diego, CA
National Provider Identifier
1639190028
Registry record updated Nov 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
G57800 Issued in CA
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

Updated by the provider on Nov 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00G578000MedicaidCA

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
I20040216001339 CA Practitioner - Diagnostic Radiology 1759276033 Reassigns benefits to 1 organization

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
Regents of the University of CaliforniaGroup PAC ID 3577476761, 2,047 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
57800CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California Neuroradiology CurrentSince Jan 8, 2004 Accepting new patients
Regents of the University of California Ucsd Department of Radiology Diagnostic Radiology CurrentSince Nov 27, 2007 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.

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

Verify at the official NPI Registry.