Individual provider Active NPI

Dwight Kenneth Lee, MD

  • Diagnostic Radiology Physician
  • Los Angeles, CA
National Provider Identifier
1710149869
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A124213 Issued in CA
Practice address
6801 Park Ter Ste 100
Los Angeles, CA 90045-1546
Phone
(310) 665-7200
NPI assigned
Jun 30, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X A124213 CA
Student in an Organized Health Care Education/Training Program 390200000X LL1908 NV
Diagnostic Radiology Physician 2085R0202X A124213 CA Primary

Addresses

Primary practice location

6801 Park Ter Ste 100
Los Angeles, CA 90045-1546

Mailing address

200 W Arbor Dr
University of California, San Diego
San Diego, CA 92103-9000
Phone (619) 543-6641

Other practice location 1

200 W Arbor Dr
University of California, San Diego
San Diego, CA 92103-9000
Phone (619) 543-6641

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
I20130625000180 CA Practitioner - Diagnostic Radiology 9133368046 Reassigns benefits to 15 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beverly Radiology Medical Group IIIGroup PAC ID 3476466376, 327 clinicians
Centinela Radiology Medical GroupGroup PAC ID 3476440215, 9 clinicians
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

222 E Main St
Suite 213 214
Barstow, CA 92311-2361
Phone (780) 242-4444

222 W Eulalia St
Glendale, CA 91204-2849
Phone (818) 502-2323

555 E Hardy St
Inglewood, CA 90301-4011
Phone (310) 673-4660

6801 Park Ter
Suite 400
Los Angeles, CA 90045-9212
Phone (310) 655-7200

Hospital & facility affiliations

  • Centinela Hospital Medical Center Hospital, Inglewood, CA, CCN 050739
  • Cedar-Sinai Marina del Rey Hospital Hospital, Marina del Rey, CA, CCN 050740
  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LL1908NVMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Centinela Radiology Medical Group Diagnostic Radiology CurrentSince Nov 7, 2022 Accepting new patients
United Medical Imaging Healthcare, Inc. CurrentSince May 25, 2023 Accepting new patients
Norcal Imaging Diagnostic Radiology CurrentSince Jan 15, 2023 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Nov 7, 2022 Accepting new patients
Fresno Imaging Center Diagnostic Radiology CurrentSince Jan 15, 2023 Accepting new patients
Norcal Imaging Diagnostic Radiology CurrentSince Jan 15, 2023 Accepting new patients
Stockton Diagnostic Imaging Diagnostic Radiology CurrentSince Jan 15, 2023 Accepting new patients
Santa Rosa Imaging Medical Center Diagnostic Radiology CurrentSince Jan 15, 2023 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Nov 7, 2022 Accepting new patients
Desert Advanced Imaging Medical Center Diagnostic Radiology CurrentSince Jan 15, 2023 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Jan 15, 2023 Accepting new patients
Modesto Advanced Diagnostic Imaging Medical Center Diagnostic Radiology CurrentSince Jan 15, 2023 Accepting new patients
Arizona Diagnostic Radiology Group, LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Jan 15, 2023 Accepting new patients
United Medical Imaging Healthcare, Inc. Body Imaging Current Accepting new patients
Palm Desert Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Aug 1, 2015 Accepting new patients
United Medical Imaging Healthcare Inc. CurrentSince May 25, 2023 Accepting new patients
Diagnostic Radiological Imaging Diagnostic Radiology CurrentSince Jan 15, 2023 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Jan 15, 2023 Accepting new patients
United Medical Imaging Healthcare, Inc. Diagnostic Radiology Past Accepting new patients
United Medical Imaging Healthcare, Inc. Body Imaging Past Accepting new patients
United Medical Imaging Healthcare, Inc. Body Imaging Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Body Imaging Past Accepting new patients
United Medical Imaging Healthcare, Inc. Body Imaging Past Accepting new patients
United Medical Imaging Healthcare, Inc. Body Imaging Past Accepting new patients
United Medical Imaging Healthcare, Inc. Body Imaging Past Accepting new patients
Regents of the University of California Past Accepting new patients
United Medical Imaging Healthcare, Inc. Body Imaging Past Accepting new patients
United Medical Imaging Healthcare, Inc. Body Imaging Past Accepting new patients
Regents of the University of California Body Imaging Past Accepting new patients
United Medical Imaging Healthcare, Inc. Body Imaging Past Accepting new patients
United Medical Imaging Healthcare, Inc. Body Imaging Past Accepting new patients
United Medical Imaging Healthcare, Inc. Body Imaging Past Accepting new patients
United Medical Imaging Healthcare, Inc. Body Imaging Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Body Imaging Past Accepting new patients
United Medical Imaging Healthcare, Inc. Body Imaging Past Accepting new patients
Eisenhower Medical Center Past Accepting new patients
Cedars-Sinai Marina Hospital Past Accepting new patients
United Medical Imaging Healthcare, Inc. Body Imaging Past Accepting new patients
United Medical Imaging Healthcare, Inc. Body Imaging Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Body Imaging Past Accepting new patients
United Medical Imaging Healthcare Inc. Body Imaging Past Accepting new patients
United Medical Imaging Healthcare, Inc. Body Imaging Past Accepting new patients

Locations (25 of 47)

18523 Corwin Rd
Ste J
Apple Valley, CA 92307
Phone (760) 242-4444

222 E Main St
Ste 213214
Barstow, CA 92311
Phone (780) 242-4444

8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100

2601 W Alameda Ave
Ste 101
Burbank, CA 91505
Phone (818) 843-7462

2300 Clayton Rd
Ste 160
Concord, CA 94520
Phone (925) 825-7777

801 S Main St
Ste 205
Corona, CA 92882
Phone (951) 351-1025

801 S Main St
Ste 101
Corona, CA 92882
Phone (951) 682-1099

7911 Laguna Blvd
Elk Grove, CA 95758
Phone (916) 683-3950

16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020

2201 Walnut Ave
Ste 150
Fremont, CA 94538
Phone (510) 713-1234

6107 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 435-4433

6191 N Thesta St
Fresno, CA 93710
Phone (559) 435-7200

9191 Westminster Ave
Ste 105
Garden Grove, CA 92844
Phone (714) 583-6314

222 W Eulalia St
Glendale, CA 91204
Phone (818) 240-0601

250 S 12th Ave
Hanford, CA 93230
Phone (559) 295-2450

2679 Zoe Ave
Huntington Park, CA 90255
Phone (323) 584-3333

555 E Hardy St
Inglewood, CA 90301
Phone (310) 419-8636

110 S La Brea Ave
Ste 150
Inglewood, CA 90301
Phone (310) 671-6000

45280 Seeley Dr
Ste 100A
La Quinta, CA 92253

11360 Mountain View Ave
Ste C
Loma Linda, CA 92354
Phone (909) 478-3300

3320 N Los Coyotes Diagonal
Ste 120
Long Beach, CA 90808
Phone (562) 627-0903

3715 E South St
Long Beach, CA 90805
Phone (562) 602-0700

3513 Whittier Blvd
Los Angeles, CA 90023
Phone (323) 262-1814

6801 Park Ter
Ste 100
Los Angeles, CA 90045
Phone (310) 665-7180

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

Organizations & group practices 49

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.

View all 49

Hospital & facility affiliations 4

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": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1710149869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR",
            "address_2": "UNIVERSITY OF CALIFORNIA, SAN DIEGO",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921039000",
            "telephone_number": "619-543-6641",
            "fax_number": "619-543-3781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 PARK TER STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900451546",
            "telephone_number": "310-665-7200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 W Arbor Dr",
            "address_2": "University of California, San Diego",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921039000",
            "country_code": "US",
            "telephone_number": "619-543-6641",
            "fax_number": "619-543-3781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "DWIGHT",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "CA",
            "license": "A124213",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NV",
            "license": "LL1908",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A124213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.