Active NPI
Jennifer G. Lee, M.D.
- Emergency Medicine Physician
- Kailua, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD-20296
- Practice address
- 640 Ulukahiki St
Kailua, HI 96734-4454 - Phone
- (808) 263-5164
- NPI assigned
- Jun 26, 2015
- Last updated
- Jan 13, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD-20296 | HI | Primary |
Addresses
Primary practice location
640 Ulukahiki St
Kailua, HI 96734-4454
Mailing address
407 Uluniu St Ste 411
Kailua, HI 96734-2544
Phone (808) 261-3326
Other practice location 1
1000 W Carson St
Torrance, CA 90502-2004
Phone (310) 222-3501
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
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
- Emergency Medicine
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 W California Blvd
Pasadena, CA 91105-3010
Phone 6264470296142
1011 Balwin Park Blvd
Baldwin Park, CA 91706-5806
Phone (626) 851-1011
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.41 of 100
- Quality
- 79.31
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-20296 | HI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Presbyterian Emergency Medical Associates | Emergency Medicine | Current | Accepting new patients |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| HMH Emergency Medical Group, Inc. | Emergency Medicine | Current | Accepting new patients |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Midpacific Hospitalists LLC | Past | Accepting new patients | |
| Huntington Memorial Hospital | Past | Accepting new patients |
Locations
1011 Baldwin Park Blvd
Baldwin Park, CA 91706
Phone (626) 851-1011
4733 W Sunset Blvd
Los Angeles, CA 90027
Phone (213) 667-4784
100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445
393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914
1255 W Arrow Hwy
San Dimas, CA 91773
Phone (909) 394-2526
15107 Vanowen St
Van Nuys, CA 91405
Phone (818) 782-6600
Interoperability endpoints
- jlee498698@direct.cshs.org
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Pasadena, CA
- NPI 1659383024
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
-
- Emergency Medicine Physician
- Van Nuys, CA
- NPI 1033133103
-
- Health Maintenance Organization
- San Diego, CA
- NPI 1225060742
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
-
- Internal Medicine Physician
- Kailua, HI
- NPI 1053778217
-
dba Huntington Memorial Hospital Pharmacy
- General Acute Care Hospital
- Pasadena, CA
- NPI 1467672667
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kaiser Foundation Hospital - Baldwin Park
- General Acute Care Hospital
- Baldwin Park, CA
- NPI 1477608271
-
dba Huntington Hospital
- General Acute Care Hospital
- Pasadena, CA
- NPI 1407828429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673568000000",
"number": "1760864664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 ULUNIU ST STE 411",
"city": "KAILUA",
"state": "HI",
"postal_code": "967342544",
"telephone_number": "808-261-3326",
"fax_number": "808-261-3092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 ULUKAHIKI ST",
"city": "KAILUA",
"state": "HI",
"postal_code": "967344454",
"telephone_number": "808-263-5164"
}
],
"practiceLocations": [
{
"address_1": "1000 W Carson St",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "905022004",
"country_code": "US",
"telephone_number": "310-222-3501",
"fax_number": "310-782-1763",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEE",
"first_name": "JENNIFER",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-26",
"last_updated": "2023-01-13",
"certification_date": "2020-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "HI",
"license": "MD-20296",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "1011 Baldwin Park Blvd",
"city": "Baldwin Park",
"state": "CA",
"country_code": "US",
"postal_code": "917065806",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kailua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.