Individual provider Active NPI

James Jangwon Lee, DC

  • Chiropractor
  • Irvine, CA
National Provider Identifier
1922775303
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34981 Issued in CA
Practice address
206 Holbrook
Irvine, CA 92620-2162
Phone
(714) 621-0327
NPI assigned
Aug 24, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 34981 CA Primary

Addresses

Primary practice location

206 Holbrook
Irvine, CA 92620-2162

Mailing address

13311 Garden Grove Blvd Ste B
Garden Grove, CA 92843-2202
Phone (714) 621-0327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230619001432 CA Practitioner - Chiropractic 9436517737 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34981CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Twins Physical Medicine Corp CurrentSince Sep 23, 2024 Accepting new patients
KCS, Inc. CurrentSince May 10, 2023 Accepting new patients
KCS, Inc. CurrentSince May 10, 2023 Accepting new patients
Twins Wellness Chiropractor PastSince Aug 29, 2021 Accepting new patients

Locations

451 W Lincoln Ave
Ste 100
Anaheim, CA 92805
Phone (714) 507-3770

8352 Commonwealth Ave
Buena Park, CA 90621
Phone 714503655036411

13311 Garden Grove Blvd
Ste B
Garden Grove, CA 92843
Phone (714) 621-0312

19742 MacArthur Blvd
Ste 250
Irvine, CA 92612
Phone (949) 486-8530

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: james.lee.p1@direct.kcs.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1922775303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13311 GARDEN GROVE BLVD STE B",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928432202",
            "telephone_number": "714-621-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 HOLBROOK",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926202162",
            "telephone_number": "714-621-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "JAMES",
        "middle_name": "JANGWON",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.