Active NPI
John Myung Lee, MD
- Hospitalist Physician
- Victorville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- A176924
- Practice address
- 15366 Eleventh St Ste C
Victorville, CA 92395-3726 - Phone
- (213) 760-3796
- Fax
- (213) 566-3793
- NPI assigned
- Apr 25, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A176924 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Hospitalist Physician | 208M00000X | A176924 | CA | Primary |
Addresses
Primary practice location
15366 Eleventh St Ste C
Victorville, CA 92395-3726
Mailing address
4140 W 190TH St
Torrance, CA 90504-5513
Other practice location 1
8700 Beverly Blvd # B220
West Hollywood, CA 90048-1804
Phone (310) 423-5252
Other practice location 2
210 Via Pasqual
Redondo Beach, CA 90277-6655
Phone (760) 610-6738
Other practice location 3
4650 Lincoln Blvd
Marina Del Rey, CA 90292-6306
Phone (310) 823-8911
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
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1050 Linden Ave
Long Beach, CA 90813-3321
Phone (562) 491-9469
15366 11TH St
Suite C
Victorville, CA 92395-3726
Phone (213) 760-3706
16850 Bear Valley Rd
Victorville, CA 92395-5794
Phone (760) 241-8000
1805 Medical Ctr Dr
San Bernardino, CA 92411-1217
Phone (909) 887-6333
18300 US Hwy 18
Apple Valley, CA 92307-2206
Phone (760) 242-2311
4650 Lincoln Blvd
Marina del Rey, CA 90292-6306
Phone (310) 823-8911
Hospital & facility affiliations
- Green Valley Home Health Services, Inc
- Desert Valley Hospital
- Cedar-Sinai Marina del Rey Hospital
- Providence St Mary Medical Center
- St Mary Medical Center
- Community Hospital of San Bernardino
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A176924 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Socal Hospitalists | Internal Medicine | Current | Accepting new patients |
| Desert Valley Medical Group, Inc. | Current | Accepting new patients | |
| Desert Valley Medical Group, Inc | Internal Medicine | Current | Accepting new patients |
| County of Santa Clara | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of California, Inc | Family Medicine | Current | Accepting new patients |
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients | |
| JML Family Healthcare Inc | Internal Medicine | Current | Accepting new patients |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Desert Valley Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| Prohealth Partners, a Medical Group | Internal Medicine | Current | Accepting new patients |
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients | |
| Inpatient Specialists of California, PC | Family Medicine | Current | Accepting new patients |
Locations (25 of 36)
18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311
2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655
800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511
7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400
155 Glasson Way
Grass Valley, CA 95945
Phone (530) 274-6000
20103 Lake Chabot Rd
Hayward, CA 94546
Phone (510) 537-1234
2017 Lomita Blvd
Lomita, CA 90717
Phone (310) 991-3015
1050 Linden Ave
Long Beach, CA 90813
Phone (562) 491-9000
File 54567
Los Angeles, CA 90074
Phone (310) 491-9060
8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674
21163 Newport Coast Dr
Newport Coast, CA 92657
Phone (800) 578-5145
350 S Oak Ave
Oakdale, CA 95361
Phone (209) 847-3011
4002 Vista Way
Oceanside, CA 92056
Phone (760) 724-8411
1600 N Rose Ave
Oxnard, CA 93030
Phone (805) 988-2500
38600 Medical Center Dr
Palmdale, CA 93551
Phone (661) 382-5000
2550 Sister Mary Columba Dr
Red Bluff, CA 96080
Phone (530) 529-8000
1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616
10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 963-2002
660 4th St
San Francisco, CA 94107
Phone (415) 349-0850
750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320
225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433
1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320
2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- john.lee.p8@direct.hvvmg.nextgenshare.com
Organizations & group practices 13
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.
-
- Specialist
- Los Angeles, CA
- NPI 1316984388
-
- Physical Therapist
- Victorville, CA
- NPI 1639117864
-
- Internal Medicine Physician
- Apple Valley, CA
- NPI 1184663965
Family Medicine
-
- Internal Medicine Physician
- San Bernardino, CA
- NPI 1952792475
Family Medicine
-
- Internal Medicine Physician
- Victorville, CA
- NPI 1700510518
-
- Internal Medicine Physician
- Newport Coast, CA
- NPI 1891520318
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
-
- Anesthesiology Physician
- Los Angeles, CA
- NPI 1043826720
-
- Clinic/Center
- San Jose, CA
- NPI 1154906634
-
- Pharmacy
- San Jose, CA
- NPI 1891871919
-
- Internal Medicine Physician
- Victorville, CA
- NPI 1952020315
-
- Family Medicine Physician
- Victorville, CA
- NPI 1841804101
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Marina del Rey, CA
- NPI 1942269725
-
- General Acute Care Hospital
- San Bernardino, CA
- NPI 1235290818
-
- General Acute Care Hospital
- Victorville, CA
- NPI 1851396576
-
- General Acute Care Hospital
- Long Beach, CA
- NPI 1194840421
-
- Home Health Agency
- Apple Valley, CA
- NPI 1801862578
-
- General Acute Care Hospital
- Apple Valley, CA
- NPI 1669456299
-
- General Acute Care Hospital
- Apple Valley, CA
- NPI 1710109186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689033600000",
"number": "1750879755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4140 W 190TH ST",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905045513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15366 ELEVENTH ST STE C",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923953726",
"telephone_number": "213-760-3796",
"fax_number": "213-566-3793"
}
],
"practiceLocations": [
{
"address_1": "8700 Beverly Blvd # B220",
"address_purpose": "LOCATION",
"city": "West Hollywood",
"state": "CA",
"postal_code": "900481804",
"country_code": "US",
"telephone_number": "310-423-5252",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "210 Via Pasqual",
"address_purpose": "LOCATION",
"city": "Redondo Beach",
"state": "CA",
"postal_code": "902776655",
"country_code": "US",
"telephone_number": "760-610-6738",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4650 Lincoln Blvd",
"address_purpose": "LOCATION",
"city": "Marina Del Rey",
"state": "CA",
"postal_code": "902926306",
"country_code": "US",
"telephone_number": "310-823-8911",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "JOHN",
"middle_name": "MYUNG",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-25",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A176924",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "A176924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.