Individual provider Active NPI

Jenny S Lee, M.D.

  • Obstetrics & Gynecology Physician
  • Santa Ana, CA
National Provider Identifier
1801057278
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A102898 Issued in CA
Practice address
3501 S Harbor Blvd
Santa Ana, CA 92704-6919
Phone
(714) 929-2493
NPI assigned
Jun 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A102898 CA Primary

Addresses

Primary practice location

3501 S Harbor Blvd
Santa Ana, CA 92704-6919

Mailing address

1665 Scenic Ave.
Suite 100
Costa Mesa, CA 92626
Phone (714) 929-2493

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
I20091120000607 CA Practitioner - Obstetrics/Gynecology 0345389912 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

2425 Samaritan Dr
San Jose, CA 95124-3908
Phone 80024338397746

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A102898CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Associates Corporation CurrentSince Nov 22, 2017 Accepting new patients
Magella Medical Group, Inc. Obstetrics & Gynecology CurrentSince Apr 14, 2018 Accepting new patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince Mar 31, 2016 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Jan 1, 2024 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Jan 1, 2024 Accepting new patients
Obstetrix Medical Group of California, a Professional Corporation Obstetrics & Gynecology CurrentSince Aug 23, 2021 Accepting new patients
Talbert Medical Group, P.C. Obstetrics & Gynecology Past Accepting new patients
Memorial Medical Group Inc Past Accepting new patients

Locations

2070 Clinton Ave
Alameda, CA 94501
Phone (510) 522-3700

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

18111 Brookhurst St
Ste 6700
Fountain Vly, CA 92708
Phone (949) 229-2003

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

24451 Health Center Dr
Laguna Hills, CA 92653
Phone (949) 452-3573

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

2865 Atlantic Ave
Ste 110
Long Beach, CA 90806
Phone (562) 933-0590

4281 Katella Ave
Ste 223
Los Alamitos, CA 90720
Phone (562) 429-7100

File 50978
Los Angeles, CA 90074

1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000

File 50981
Los Angeles, CA 90074

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500

2725 Capitol Ave
Dept 304
Sacramento, CA 95816
Phone (916) 262-9414

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

450 E Romie Ln
Salinas, CA 93901
Phone (831) 372-7844

2425 Samaritan Dr
San Jose, CA 95124
Phone (408) 354-2114

4101 Torrance Blvd
Torrance, CA 90503
Phone (310) 540-7676

23441 Madison St
Ste 290
Torrance, CA 90505
Phone (310) 375-7172

12462 Putnam St
Ste 303
Whittier, CA 90602
Phone (562) 789-5440

Interoperability endpoints

  • Direct secure messaging: jlee641702@hisp.ehr.sutterhealth.org
  • Direct secure messaging: jleemd76603@direct.memorialcare.org

Organizations & group practices 8

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 1

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": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429660800000",
    "number": "1801057278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 SCENIC AVE.",
            "address_2": "SUITE 100",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "92626",
            "telephone_number": "714-929-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 S HARBOR BLVD",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046919",
            "telephone_number": "714-929-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JENNY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-18",
        "last_updated": "2015-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A102898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.