Active NPI
Eric J Lee, M.D.
- Hospitalist Physician
- Pasadena, CA
National Provider Identifier
1679688683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- A100560
- Practice address
- 50 Bellefontaine St Ste 307
Pasadena, CA 91105-3132 - Phone
- (626) 397-1444
- NPI assigned
- Aug 20, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD13861 | HI | |
| Hospitalist Physician | 208M00000X | A100560 | CA | Primary |
Addresses
Primary practice location
50 Bellefontaine St Ste 307
Pasadena, CA 91105-3132
Mailing address
50 Bellefontaine St Ste 307
Pasadena, CA 91105-3132
Phone (626) 397-1444
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220303000449 | CA | Order and Referring Only - Internal Medicine | 8325081078 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD13861 | HI | MD | Internal Medicine Physician |
| A100560 | CA | MD | Hospitalist Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189900800000",
"number": "1679688683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 BELLEFONTAINE ST STE 307",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053132",
"telephone_number": "626-397-1444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 BELLEFONTAINE ST STE 307",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053132",
"telephone_number": "626-397-1444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "ERIC",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2007-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "HI",
"license": "MD13861",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "A100560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.