James Michael Lee, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G68072 Issued in CA

Practice address

75881 Via Pisa, Indian Wells, Ca, USA
Indian Wells, CA 92210-7849

Phone

(909) 969-8421

Fax

(760) 404-0248

NPI assigned

Jan 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. J. Michael Lee Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1922088517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19005 WILEYS WELL RD",
            "city": "BLYTHE",
            "state": "CA",
            "postal_code": "922252287",
            "telephone_number": "760-296-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75881 VIA PISA, INDIAN WELLS, CA, USA",
            "city": "INDIAN WELLS",
            "state": "CA",
            "postal_code": "922107849",
            "telephone_number": "909-969-8421",
            "fax_number": "760-404-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2023-03-07",
        "certification_date": "2020-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G68072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "G68072",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "J.",
            "last_name": "LEE",
            "middle_name": "MICHAEL",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kayla Keith
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• Mark C. Kiselow, M.D.
• Rafal Ryszard Kurzawa, M.D.
• Melissa Lee, AMFT
• Linda Mak, MD, Inc.
• Javier Alejandro Lopez Garcia
• Alondra Lopez
• Claudia Vanesa Lopez, LE, PMUA

• Specialist in Indian Wells, CA
• Providers in Indian Wells, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.