Individual provider Active NPI

David Lee, M.D

  • Psychiatry Physician
  • Pasadena, CA
National Provider Identifier
1871942243
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A153279 Issued in CA
Practice address
1020 S Arroyo Pkwy
Pasadena, CA 91105-3911
Phone
(626) 403-2794
NPI assigned
Jun 7, 2016
Last updated
Aug 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Psychiatry Physician 2084P0800X A153279 CA Primary
Child & Adolescent Psychiatry Physician 2084P0804X A153279 CA

Addresses

Primary practice location

1020 S Arroyo Pkwy
Pasadena, CA 91105-3911

Mailing address

1020 S Arroyo Pkwy
Pasadena, CA 91105-3911

Other practice location 1

17234 Valley Blvd
Fontana, CA 92335
Phone (714) 510-0814

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
I20190926000994 CA Practitioner - Psychiatry 5597002717 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pacific ClinicsGroup PAC ID 4082008420, 72 clinicians

Practice addresses (Care Compare)

1020 S Arroyo Pkwy
Pasadena, CA 91105-3911
Phone (626) 403-2794

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A153279CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Bernardino Current Accepting new patients
Pacific Clinics Current Accepting new patients
Telecare Corporation CurrentSince Mar 1, 2020 Accepting new patients
County of San Bernardino CurrentSince Jul 7, 2021 Accepting new patients
Pacific Clinics CurrentSince Aug 11, 2025 Accepting new patients
County of San Bernardino CurrentSince Jul 7, 2021 Accepting new patients
Telecare Corporation CurrentSince Mar 1, 2020 Accepting new patients
Telecare Corporation Current Accepting new patients
Pacific Clinics CurrentSince Aug 11, 2025 Accepting new patients

Locations

1080 Marina Village Pkwy
Ste 100
Alameda, CA 94501
Phone (510) 306-5660

251 Llewellyn Ave
Campbell, CA 95008
Phone (408) 364-4083

280 17th St
Oakland, CA 94612
Phone (510) 238-5020

1020 S Arroyo Pkwy
Pasadena, CA 91105
Phone (626) 403-2794

850 E Foothill Blvd
Rialto, CA 92376
Phone (909) 421-9200

425 E Santa Clara St
San Jose, CA 95113
Phone (669) 245-3428

800 N 1st St
San Jose, CA 95112
Phone (408) 299-0462

303 E Vanderbilt Way
Sn Bernrdno, CA 92415
Phone (909) 388-0801

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1871942243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 S ARROYO PKWY",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 S ARROYO PKWY",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053911",
            "telephone_number": "626-403-2794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17234 Valley Blvd",
            "address_purpose": "LOCATION",
            "city": "Fontana",
            "state": "CA",
            "postal_code": "92335",
            "country_code": "US",
            "telephone_number": "714-510-0814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "DAVID",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-07",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A153279",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A153279",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.