Individual provider Active NPI

Lance Jehong Lee, M.D.

  • Neurology Physician
  • Glendale, CA
National Provider Identifier
1699742189
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A61300 Issued in CA
Practice address
1500 E Chevy Chase Dr Ste 204
Glendale, CA 91206-4199
Phone
(818) 243-1501
Fax
(818) 638-6191
NPI assigned
Mar 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A61300 CA Primary

Addresses

Primary practice location

1500 E Chevy Chase Dr Ste 204
Glendale, CA 91206-4199

Mailing address

1500 E Chevy Chase Dr Ste 204
Glendale, CA 91206-4199
Phone (818) 243-1501

Other identifiers 1

IdentifierTypeStateIssuer
00A613000MedicaidCA

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
I20040206000956 CA Practitioner - Neurology 3870486376 Reassigns benefits to 1 organization
Practice locations: Glendale, CA

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Hahnemann University College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1500 E Chevy Chase Dr
Suite 204
Glendale, CA 91206-4199
Phone (818) 243-1501

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A61300CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lance J. Lee M.D. Inc Neurology CurrentSince Jul 30, 2025 Accepting new patients

Locations

1500 E Chevy Chase Dr
Ste 204
Glendale, CA 91206
Phone (818) 243-1501

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: llee38136@direct.uclahealth.org

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1699742189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E CHEVY CHASE DR STE 204",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064199",
            "telephone_number": "818-243-1501",
            "fax_number": "818-638-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E CHEVY CHASE DR STE 204",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064199",
            "telephone_number": "818-243-1501",
            "fax_number": "818-638-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "LANCE",
        "middle_name": "JEHONG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A61300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A613000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.