Bryan X Lee (NPI# 1467512624, PAC ID# 0042311508) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1467512624 |
| PAC ID by PECOS | 0042311508 |
| Professional Enrollment ID | I20110719000374 |
| Full Name | Bryan X Lee |
| Organization Legal Name | BRYAN X LEE MD A PROFESSIONAL MEDICAL CORPORATION |
| Address |
12442 Limonite Ave Suite 211 Eastvale CA 91752-2467 |
| Phone Number | 9512209796 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| Secondary Specialties | ANESTHESIOLOGY |
| Group Practice PAC ID | 0941478960 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050231 | POMONA VALLEY HOSPITAL MEDICAL CENTER |
| 050099 | SAN ANTONIO REGIONAL HOSPITAL |
| 050782 | CASA COLINA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 12442 Limonite Ave, Suite 211, Eastvale, CA 91752-2467 | 9512209796 | BRYAN X LEE MD A PROFESSIONAL MEDICAL CORPORATION |
| 1211 W 6th St, Ontario, CA 91762-1103 | 9099336580 | BRYAN X LEE MD A PROFESSIONAL MEDICAL CORPORATION |
| 1798 N Garey Ave, Pomona, CA 91767-2918 | 9098659500 | BRYAN X LEE MD A PROFESSIONAL MEDICAL CORPORATION |
| 250 W Bonita Ave, Suite 160, Pomona, CA 91767-1870 | 9095931002 | BRYAN X LEE MD A PROFESSIONAL MEDICAL CORPORATION |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_109_overall | Osteoarthritis (OA): Function and Pain Assessment | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | BRYAN X LEE MD A PROFESSIONAL MEDICAL CORPORATION |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angelique B Carter | Nurse Practitioner | Bryan X Lee Md A Professional Medical Corporation | 1798 N Garey Ave, Pomona, CA 91767-2918 |
| Street Address |
12442 LIMONITE AVE SUITE 211 |
| City | EASTVALE |
| State | CA |
| Zip | 91752-2467 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric C Bekemeier | Family Medicine | Cucamonga Valley Medical Group, Inc. | 12442 Limonite Ave, Unit 205, Eastvale, CA 91752-2467 |
| Lazar Max Michaels | Nurse Practitioner | Mountain View Urgent Care Group, Inc | 12442 Limonite Ave, Unit 102, Eastvale, CA 91752-2467 |
| Kimberly Bekemeier | Family Medicine | Cucamonga Valley Medical Group, Inc. | 12442 Limonite Ave, Unit 205, Eastvale, CA 91752-2467 |
| Karin C Li | Internal Medicine | Karin C Li Md A Professional Medical Corporation | 12442 Limonite Ave, Unit 211, Eastvale, CA 91752-2467 |
| Lindsey Allison Woods | Nurse Practitioner | Mountain View Urgent Care Group, Inc | 12442 Limonite Ave, Unit 102, Eastvale, CA 91752-2467 |
| Jesse S Dominguez | Emergency Medicine | Cucamonga Valley Medical Group, Inc. | 12442 Limonite Ave, Unit 205, Eastvale, CA 91752-2467 |
| Ping Yang | Nurse Practitioner | Mountain View Urgent Care Group, Inc | 12442 Limonite Ave, Unit 102, Eastvale, CA 91752-2467 |
| Taiwo Olanike Ige | Nurse Practitioner | Mountain View Urgent Care Group, Inc | 12442 Limonite Ave, Unit 102, Eastvale, CA 91752-2467 |
| Mary R Perry | Family Medicine | Cucamonga Valley Medical Group, Inc. | 12442 Limonite Ave, Unit 205, Eastvale, CA 91752-2467 |
| Yoggie Efendy | Nurse Practitioner | Mountain View Urgent Care Group, Inc | 12442 Limonite Ave, Unit 102, Eastvale, CA 91752-2467 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul R Mercer | Family Medicine | Access Primary Care Physicians Inc | 10250 Country Club Dr, Suite H, Jurupa Valley, CA 91752-1328 |
| Joe Rossini | Family Medicine | Access Primary Care Physicians Inc | 10250 Country Club Dr, Suite H, Jurupa Valley, CA 91752-1328 |
| Alexander M Welzig | Physician Assistant | Mountain View Urgent Care Group, Inc | 12442 Limonite Ave, Unit 102, Eastvale, CA 91752-2467 |
| Kristie Anh Vo | Optometry | Kristie Vo O.d, Inc | 6445 Pats Ranch Rd D, Mira Loma, CA 91752-4439 |
| City | EASTVALE |
| Zip Code | 91752 |
| Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| City + Specialty | EASTVALE + INTERVENTIONAL PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Bryan X Lee.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.