Individual provider Active NPI

Patricia W Lee, M.D.

  • Obstetrics & Gynecology Physician
  • Upland, CA
National Provider Identifier
1962418186
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A85768 Issued in CA
Practice address
930 E Foothill Blvd
Suite 2
Upland, CA 91786-4051
Phone
(909) 946-2277
Fax
(909) 920-0765
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A85768 CA Primary

Addresses

Primary practice location

930 E Foothill Blvd
Suite 2
Upland, CA 91786-4051

Mailing address

930 E Foothill Blvd
Suite 2
Upland, CA 91786-4051
Phone (909) 946-2277

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
I20070623000110 CA Practitioner - Obstetrics/GynecologyPractitioner - Gynecological Oncology 1254430705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thomas W Lee MD IncGroup PAC ID 9436258985, 2 clinicians

Practice addresses (Care Compare)

930 E Foothill Blvd
Suite 2
Upland, CA 91786-4051
Phone (909) 946-2277

Hospital & facility affiliations

  • San Antonio Regional Hospital Hospital, Upland, CA, CCN 050099

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas W Lee MD Inc Obstetrics & Gynecology CurrentSince Dec 1, 2006 Accepting new patients
Dignity Health Past Accepting new patients
Prime Healthcare Services - Montclair, LLC Past Accepting new patients
Redlands Community Hospital Past Accepting new patients
Primecare Medical Group Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Temecula Valley Hospital Inc Past Accepting new patients

Locations

1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810

930 E Foothill Blvd
Ste 2
Upland, CA 91786
Phone (909) 946-2277

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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 1

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1962418186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 E FOOTHILL BLVD",
            "address_2": "SUITE 2",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864051",
            "telephone_number": "909-946-2277",
            "fax_number": "909-920-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 E FOOTHILL BLVD",
            "address_2": "SUITE 2",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864051",
            "telephone_number": "909-946-2277",
            "fax_number": "909-920-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "PATRICIA",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A85768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.