Jae Hoon Lee, M.D.

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

A109172 Issued in CA

Practice address

520 N Main St Ste 120
Santa Ana, CA 92701-4623

Phone

(714) 352-5800

Fax

(714) 352-5801

NPI assigned

Jul 6, 2007

Last updated

Aug 19, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Caring Nurses Hospice Inc

  • Community Based Hospice Care Agency
  • Glendale, CA
  • NPI 1871192989

  Contracted Managing Employee

  CMS ownership
• Next Care Hospice, Inc.

  • Community Based Hospice Care Agency
  • Fountain Valley, CA
  • NPI 1184274805

  Contracted Managing Employee

  CMS ownership
• Umbrella Hospice, Inc

  • Community Based Hospice Care Agency
  • Los Angeles, CA
  • NPI 1922665991

  Contracted Managing Employee

  CMS ownership

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.

• Jae Hoon Lee MD Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Los Angeles, CA
  • NPI 1548961204
  Medicare reassignment NPD Authorized official
• New Foundation Medical Inc.

  • Multi-Specialty Clinic/Center
  • Santa Ana, CA
  • NPI 1689023582
  Medicare reassignment NPD
• You & Me Wellness, Apc

  • Psychiatry Physician
  • Los Angeles, CA
  • NPI 1306498704
  Medicare reassignment NPD
• Caring Nurses Hospice Inc

  • Community Based Hospice Care Agency
  • Glendale, CA
  • NPI 1871192989

  Geriatric Medicine

  NPD (past)

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1912105297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5016 CHESEBRO RD",
            "address_2": "STE 200",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913012210",
            "telephone_number": "818-528-6164",
            "fax_number": "818-991-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N MAIN ST STE 120",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014623",
            "telephone_number": "714-352-5800",
            "fax_number": "714-352-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JAE",
        "middle_name": "HOON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-06",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A109172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A109172",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV MEDICAL LIC",
            "identifier": "LL1795",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hanna Soomin Lee, BEHAVIOR TECHNICIAN
• Hannah C Lee, BEHAVIOR TECHNICIAN
• Ho Ching Lee
• Hsin-Yueh Leon Lee, L.AC
• Hyo Lim Lee, PHARMD
• Jane Lee
• Jeanine Lee
• Jenny S Lee, M.D.
• John Russell Lee
• Juhee Elsa Lee, M.D.

• Geriatric Medicine (Family Medicine) Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Geriatric Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.