Ian-Jay R. Lee, D.D.S.
Individual provider Active NPI Dentist · Winterhaven, CA
NPI 1669435681 · NPPES record last updated Aug 25, 2026
Key facts
- NPI
- 1669435681
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 49925 (CA)
- Practice address
- 401 Picacho Rd
Winterhaven, CA 92283-9605 - Phone
- (760) 572-4233
- NPI assigned
- Apr 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Dentist
- Education
- Other, 2002
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
401 Picacho Rd
Winterhaven, CA 92283-9605
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260310001203 | TX | Practitioner - Dentist | 3375026289 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49925 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corrections and Rehabilitation-Headquarters | Current |
Accepting new patients | |
| DHHS PHS IHS Phoenix Area | Current |
Accepting new patients |
Locations
7018 Blair Rd
Calipatria, CA 92233
Phone (760) 348-7000
401 Picacho Rd
Winterhaven, CA 92283
Phone (760) 572-4100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 49925 | CA | Yes |
Addresses
Primary practice location
401 Picacho Rd
Winterhaven, CA 92283-9605
Mailing address
P.O. Box 62544
Irvine, CA 92602-2544
Phone (425) 210-2305
Other providers in Winterhaven, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.