NPIMap

Individual provider Active NPI

Jai H Lee, M.D.

  • Orthopaedic Surgery Physician
  • Hemet, CA
National Provider Identifier
1720007420
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A38492 Issued in CA
Practice address
1225 E Latham Ave
Ste a
Hemet, CA 92543-4423
Phone
(951) 652-8700
Fax
(951) 766-9944
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A38492 CA Primary

Addresses

Primary practice location

1225 E Latham Ave
Ste a
Hemet, CA 92543-4423

Mailing address

1035 S Vermont Ave
Los Angeles, CA 90006-2710
Phone (213) 387-0102

Other identifiers 1

IdentifierTypeStateIssuer
A38492OtherCACA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110920000038 CA Practitioner - Orthopedic Surgery 6103921960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

520 S Virgil Ave
Suite 103
Los Angeles, CA 90020-1425
Phone (213) 380-0028

Hospital & facility affiliations

  • Divine Home Health, Inc Home health agency, La Mirada, CA, CCN 058330
  • Hollywood Presbyterian Medical Center Hospital, Los Angeles, CA, CCN 050063

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38492CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jai H Lee MD a Professional Corporation Orthopaedic Surgery CurrentSince Jun 1, 2014 Accepting new patients
Hemet Valley Medical Center Past Accepting new patients
Lee Orthopedic Institute Orthopaedic Surgery Past Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients
Lee Orthopedic Institute, a Professional Medical Corporation Orthopaedic Surgery PastSince Aug 7, 2011 Accepting new patients
Dignity Health Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Menifee Valley Medical Center Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Good Samaritan Hospital of Suffern Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients

Locations

520 S Virgil Ave
Ste 103
Los Angeles, CA 90020
Phone (213) 380-0028

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 11

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 2

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379462400000",
    "number": "1720007420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062710",
            "telephone_number": "213-387-0102",
            "fax_number": "213-738-8764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 E LATHAM AVE",
            "address_2": "STE A",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434423",
            "telephone_number": "951-652-8700",
            "fax_number": "951-766-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JAI",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2013-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A38492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE",
            "identifier": "A38492",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.