Individual provider Active NPI

Lillian Kim Lee, M.D.

  • Anesthesiology Physician
  • Mission Viejo, CA
National Provider Identifier
1922276096
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A100719 Issued in CA
Practice address
26522 La Alameda Ste 370
Mission Viejo, CA 92691-6330
Phone
(949) 600-7864
NPI assigned
Feb 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD155857 OR
Anesthesiology Physician 207L00000X A100719 CA Primary

Addresses

Primary practice location

26522 La Alameda Ste 370
Mission Viejo, CA 92691-6330

Mailing address

26522 La Alameda Ste 370
Mission Viejo, CA 92691-6330
Phone (949) 600-7864

Other practice location 1

707 SW Washington St
Suite 700
Portland, OR 97205-3536
Phone (503) 299-9906

Other identifiers 1

IdentifierTypeStateIssuer
500644448MedicaidOR

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
I20110112001023 CA Practitioner - Anesthesiology 5799974366 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Loma Linda University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Anesthesia Medical Associates IncGroup PAC ID 7012902216, 49 clinicians

Practice addresses (Care Compare)

27700 Medical Ctr Rd
Mission Viejo, CA 92691-6426
Phone (949) 364-1400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
100719CAMDClinical Social Worker
A100719CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orange Coast Anesthesia Inc Anesthesiology CurrentSince Jul 6, 2017 Accepting new patients
Western Anesthesia Medical Associates Inc Anesthesiology CurrentSince Feb 10, 2018 Accepting new patients
Loma Linda Univ Anesthesiology Medical Group Inc Anesthesiology Past Accepting new patients

Locations

10900 Warner Ave
Ste 101A
Fountain Valley, CA 92708
Phone (714) 698-1270

1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900

23025 Mill Creek Dr
Ste 203
Laguna Hills, CA 92653

26921 Crown Valley Pkwy
Ste 201
Mission Viejo, CA 92691
Phone (949) 333-2224

27700 Medical Center Rd
Mission Viejo, CA 92691
Phone (949) 364-7744

26522 La Alameda
Ste 370
Mission Viejo, CA 92691
Phone (949) 600-7864

1441 Avocado Ave
Ste 103
Newport Beach, CA 92660
Phone (949) 718-3600

2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011

1001 N Tustin Ave
Santa Ana, CA 92705
Phone (714) 835-3555

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

Organizations & group practices 3

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 2

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": "1202774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1922276096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26522 LA ALAMEDA STE 370",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916330",
            "telephone_number": "949-600-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26522 LA ALAMEDA STE 370",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916330",
            "telephone_number": "949-600-7864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 SW Washington St",
            "address_2": "Suite 700",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972053536",
            "country_code": "US",
            "telephone_number": "503-299-9906",
            "fax_number": "503-225-9002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "LILLIAN",
        "middle_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OR",
            "license": "MD155857",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A100719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500644448",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.