Individual provider Active NPI

John Myung Lee, MD

  • Hospitalist Physician
  • Victorville, CA
National Provider Identifier
1750879755
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A176924 Issued in CA
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

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220426000790 CA Practitioner - HospitalistPractitioner - Internal Medicine 5193060358 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Socal HospitalistsGroup PAC ID 3274047816, 30 clinicians
Desert Valley Medical Group IncGroup PAC ID 4880595875, 78 clinicians
Inpatient Specialists of California PCGroup PAC ID 3476864448, 373 clinicians
Hospitalist Medicine Physicians of California IncGroup PAC ID 8426062027, 120 clinicians
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

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 Home health agency, Apple Valley, CA, CCN 058269
  • Desert Valley Hospital Hospital, Victorville, CA, CCN 050709
  • Cedar-Sinai Marina del Rey Hospital Hospital, Marina del Rey, CA, CCN 050740
  • Providence St Mary Medical Center Hospital, Apple Valley, CA, CCN 050300
  • St Mary Medical Center Hospital, Long Beach, CA, CCN 050191
  • Community Hospital of San Bernardino Hospital, San Bernardino, CA, CCN 050089

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A176924CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Socal Hospitalists Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Desert Valley Medical Group, Inc. Current Accepting new patients
Desert Valley Medical Group, Inc Internal Medicine CurrentSince Jan 1, 2024 Accepting new patients
County of Santa Clara CurrentSince May 18, 2022 Accepting new patients
Hospitalist Medicine Physicians of California, Inc Family Medicine CurrentSince Feb 17, 2024 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Jul 6, 2023 Accepting new patients
JML Family Healthcare Inc Internal Medicine CurrentSince Nov 1, 2022 Accepting new patients
County of Santa Clara Current Accepting new patients
County of Santa Clara CurrentSince May 18, 2022 Accepting new patients
Desert Valley Medical Group, Inc. Family Medicine CurrentSince Jan 1, 2024 Accepting new patients
Prohealth Partners, a Medical Group Internal Medicine Current Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Jul 6, 2023 Accepting new patients
Inpatient Specialists of California, PC Family Medicine CurrentSince Feb 17, 2024 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

  • Direct secure messaging: 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.

View all 13

Hospital & facility affiliations 8

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": "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

Verify at the official NPI Registry.