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DELPHINE J. LEE MD PHD INC
NPI 1003189564
Dermatology in Santa Monica, CA

Active since February 14, 2012
2121 SANTA MONICA BLVD, SANTA MONICA, CA 90404(310) 449-5265(310) 449-5273 Get Directions Write a Review

NPPES record last updated: May 4, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Delphine J. Lee Md Phd Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DELPHINE J. LEE MD PHD INC (NPI 1003189564) is a healthcare organization registered as a dermatology in Santa Monica, California and active in the NPI registry since February 2012. The organization lists Delphine Lee, Owner, as its authorized official.

NPPES Registry Identity

NPI1003189564
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDELPHINE J. LEE MD PHD INC
Location Address2121 SANTA MONICA BLVDSanta Monica, CA 90404-2303
Mailing Address2200 Santa Monica BlvdSanta Monica, CA 90404-2302 · (310) 449-5265 · Fax (310) 449-5273
Phone(310) 449-5265
Fax(310) 449-5273
Organization SubpartNo
Authorized OfficialDelphine LeeOwner · (310) 449-5265
Enumeration DateFebruary 14, 2012
Last NPPES UpdateMay 4, 2012
✔ NPI 1003189564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CA · A80992
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
2121 SANTA MONICA BLVD, Santa Monica, CA 90404
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Other Identifiers 1

OtherA80992CA · License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Delphine J. Lee Md Phd Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20120309000050Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Delphine J. Lee MD Phd Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Delphine Lee, MD, PHD
Dermatology
NPI 1710911284
2121 SANTA MONICA BLVD
Santa Monica, CA 90404
(310) 449-5265
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Delphine J. Lee MD Phd Inc's NPI number?

The NPI number for Delphine J. Lee MD Phd Inc is 1003189564. It was assigned to this organization in the NPPES registry on February 14, 2012.

Where is Delphine J. Lee MD Phd Inc located?

Delphine J. Lee MD Phd Inc is located at 2121 Santa Monica Blvd, Santa Monica, CA 90404. The listed phone number is (310) 449-5265.

What is Delphine J. Lee MD Phd Inc's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Delphine J. Lee MD Phd Inc enrolled in Medicare?

Yes. Delphine J. Lee MD Phd Inc is registered in the Medicare PECOS enrollment system.

When is Delphine J. Lee MD Phd Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Delphine J. Lee MD Phd Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Delphine J. Lee MD Phd Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Delphine J. Lee MD Phd Inc was last updated on May 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.