Individual provider Active NPI

John J Lee, M.D.

  • Vascular Surgery Physician
  • Rancho Mirage, CA
National Provider Identifier
1932356177
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
A114553 Issued in CA
Practice address
35400 Bob Hope Dr Ste 103&104
Rancho Mirage, CA 92270-1708
Phone
(760) 875-2116
Fax
(760) 266-6184
NPI assigned
Aug 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X A114553 CA Primary

Addresses

Primary practice location

35400 Bob Hope Dr Ste 103&104
Rancho Mirage, CA 92270-1708

Mailing address

35400 Bob Hope Dr Ste 103
Rancho Mirage, CA 92270-1772
Phone (760) 875-2116

Other practice location 1

1150 N Indian Canyon Dr
Palm Springs, CA 92262-4872
Phone (760) 875-2116

Other practice location 2

47111 Monroe St
Indio, CA 92201-6739
Phone (760) 875-2116

Other practice location 3

39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 875-2116

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
I20150622002362 CA Practitioner - Vascular Surgery 1951612647 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1150 M Indian Canyon Dr
Palm Springs, CA 92262-4872
Phone (310) 528-0764

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal246
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A114553CAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy MD Medical Group Inc Vascular Surgery CurrentSince Oct 6, 2024 Accepting new patients
Imperial Manor Skilled Nursing Inc CurrentSince Oct 25, 2024 Accepting new patients
Emergency Associates Corporation CurrentSince Jul 1, 2015 Accepting new patients
Empire Vein & Vascular Specialists Vascular Surgery CurrentSince Jul 1, 2015 Accepting new patients
San Fernando Valley Interventional Radiology and Imaging Center CurrentSince May 29, 2018 Accepting new patients
John J Lee MD a Professional Corporation Vascular Surgery CurrentSince Feb 1, 2024 Accepting new patients
Diagnostic Imaging Services Past Accepting new patients
JFK Memorial Hospital, Inc. Past Accepting new patients
Mark Manning. Holt, MD, a Professional Corp Past Accepting new patients
Eisenhower Medical Center Past Accepting new patients

Locations

290 Main St
Brawley, CA 92227
Phone (760) 352-2551

222 E Cole Blvd
Calexico, CA 92231
Phone (760) 352-2551

690 Otay Lakes Rd
Ste 120
Chula Vista, CA 91910
Phone (619) 397-7800

1699 N Imperial Ave
El Centro, CA 92243
Phone (442) 283-3494

16311 Ventura Blvd
Ste 120
Encino, CA 91436
Phone (818) 817-7707

47111 Monroe St
Indio, CA 92201
Phone (760) 347-6191

81812 Doctor Carreon Blvd
Ste F
Indio, CA 92201
Phone (760) 336-9002

1100 N Palm Canyon Dr
Ste 107
Palm Springs, CA 92262
Phone (760) 322-3166

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

35400 Bob Hope Dr
Ste 104
Rancho Mirage, CA 92270

35400 Bob Hope Dr
Ste 103104
Rancho Mirage, CA 92270
Phone (760) 875-2116

39000 Bob Hope Dr
Ste 310
Rancho Mirage, CA 92270

35400 Bob Hope Dr
Ste 206
Rancho Mirage, CA 92270
Phone (760) 642-5549

35400 Bob Hope Dr
Ste 103
Rancho Mirage, CA 92270
Phone (760) 844-7844

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: john.lee@739279216771076.direct.elationemr.com
  • Direct secure messaging: jlee13139@edirect.emc.org

Organizations & group practices 10

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 3

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": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1932356177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35400 BOB HOPE DR STE 103",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701772",
            "telephone_number": "760-875-2116",
            "fax_number": "760-266-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35400 BOB HOPE DR STE 103&104",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701708",
            "telephone_number": "760-875-2116",
            "fax_number": "760-266-6184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 N Indian Canyon Dr",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922624872",
            "country_code": "US",
            "telephone_number": "760-875-2116",
            "fax_number": "760-266-6184",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "47111 Monroe St",
            "address_purpose": "LOCATION",
            "city": "Indio",
            "state": "CA",
            "postal_code": "922016739",
            "country_code": "US",
            "telephone_number": "760-875-2116",
            "fax_number": "760-266-6184",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "39000 Bob Hope Dr",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922703221",
            "country_code": "US",
            "telephone_number": "760-875-2116",
            "fax_number": "760-266-6184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-19",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A114553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.