Individual provider Active NPI

Erik Lee, DO

  • Family Medicine Physician
  • Colton, CA
National Provider Identifier
1639738529
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A22707 Issued in CA
Practice address
1300 E Cooley Dr
Colton, CA 92324-3905
Phone
(909) 370-4100
NPI assigned
Jun 13, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A22707 CA Primary

Addresses

Primary practice location

1300 E Cooley Dr
Colton, CA 92324-3905

Mailing address

20475 Valley Blvd
Walnut, CA 91789-2729
Phone (909) 568-8979

Other practice location 1

1355 East St
Redding, CA 96001-0801
Phone (530) 605-4260 ext. 4964

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
I20240718003635 CA Practitioner - Family Practice 3072059658 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A22707CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shasta Regional Medical Group, Inc Family Medicine CurrentSince May 21, 2024 Accepting new patients
Shasta Regional Medical Group Inc CurrentSince May 21, 2024 Accepting new patients
Orna Gil MD Inc Current Accepting new patients
Sequoia Quality Health Inc Family Medicine PastSince Jan 5, 2020 Accepting new patients

Locations

1801 W Olympic Blvd
#1640
Pasadena, CA 91199

1355 East St
Ste 200
Redding, CA 96001
Phone (530) 229-2940

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABEFCA

Organizations & group practices 4

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": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1639738529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20475 VALLEY BLVD",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917892729",
            "telephone_number": "909-568-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E COOLEY DR",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243905",
            "telephone_number": "909-370-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1355 East St",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960010801",
            "country_code": "US",
            "telephone_number": "530-605-4260 x4964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "ERIK",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-13",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A22707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, CA

Sources for this page

Verify at the official NPI Registry.