Jade Phoenix Aesthetic Medicine, PC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

JADE PHOENIX AESTHETIC MEDICINE, PC

Practice address

22 Odyssey Ste 265
Irvine, CA 92618-7701

Phone

(949) 988-0289

NPI assigned

Jul 19, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Lee, MDNPI 1770569188

Title

Owner/Medical Director

Phone

(702) 768-8893

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas T Lee, MD

  • Anesthesiology Physician
  • Santa Ana, CA
  • NPI 1770569188
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1871331116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 HEATHER MIST",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926184812",
            "telephone_number": "702-768-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 ODYSSEY STE 265",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926187701",
            "telephone_number": "949-988-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JADE PHOENIX AESTHETIC MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-19",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "702-768-8893",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Erin Jacobs, IBCLC
• Nicholas David Jacobson, MD
• Jacquelyn Vander Wall MD. Inc
• Mark Jacques
• Priscilla Jadallah, LMFT
• Amir Jadidian, MD
• Lucie McCrea Jadow
• Elham Jafarimojarrad, M.D.
• Joshua Jahan Jahroudi
• Firoozeh Jahroumi, M.D.

• Ambulatory Surgical Clinic/Center in Irvine, CA
• Providers in Irvine, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.