Individual provider Active NPI

Eric C Lee, M.D.

  • Specialist
  • Upland, CA
National Provider Identifier
1760481808
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A67823 Issued in CA
Practice address
1238 E Arrow Hwy
Upland, CA 91786-4951
Phone
(909) 982-0099
Fax
(909) 931-0402
NPI assigned
Jul 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A67823 CA Primary

Addresses

Primary practice location

1238 E Arrow Hwy
Upland, CA 91786-4951

Mailing address

1238 E Arrow Hwy
Upland, CA 91786-4951
Phone (909) 982-0099

Other identifiers 1

IdentifierTypeStateIssuer
GR0091870MedicaidCA

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
I20040708000426 CA Practitioner - Rheumatology 2062490956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
JS Weill Medical College, Cornell University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inland Rheumatology and Osteoporosis Medical Group IncGroup PAC ID 8224925748, 4 clinicians

Practice addresses (Care Compare)

1238 E Arrow Hwy
Upland, CA 91786-4951
Phone (909) 982-0099

Hospital & facility affiliations

  • San Antonio Regional Hospital Hospital, Upland, CA, CCN 050099
  • Casa Colina Hospital Hospital, Pomona, CA, CCN 050782
  • Pomona Valley Hospital Medical Center Hospital, Pomona, CA, CCN 050231

Merit-based Incentive Payment System (MIPS)

Final score
97.77 of 100Reported as individual
Quality
90
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A67823CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Rheumatology and Osteoporosis Medical Group Inc Specialist CurrentSince Mar 1, 2004 Accepting new patients
San Antonio Regional Hospital Past Accepting new patients

Locations

14335 Pipeline Ave
Chino, CA 91710
Phone (909) 548-5355

1661 Hanover Rd
Ste 227
City of Industry, CA 91748
Phone (626) 233-2853

1238 E Arrow Hwy
Upland, CA 91786
Phone (909) 982-0099

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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 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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1760481808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1238 E ARROW HWY",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864951",
            "telephone_number": "909-982-0099",
            "fax_number": "909-931-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1238 E ARROW HWY",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864951",
            "telephone_number": "909-982-0099",
            "fax_number": "909-931-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ERIC",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A67823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0091870",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.