GREGORY LEE
NPI 1063867968
Student in an Organized Health Care Education/Training Program in Riverside, CA

Q: What is Gregory Lee's NPI number?

The NPI number for Gregory Lee is 1063867968. It was assigned to this individual provider in the NPPES registry on April 28, 2016.

Q: What is Gregory Lee's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Gregory Lee was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 28, 2016PECOS EnrolledAccepts Medicare Assignment

10800 MAGNOLIA AVE, RIVERSIDE, CA 92505(714) 876-7482 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Gregory Lee NPPES

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

GREGORY LEE (NPI 1063867968) is an individual student in an organized health care education/training program in Riverside, California and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1063867968

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameGREGORY LEE

Location Address10800 MAGNOLIA AVERiverside, CA 92505-3043

Mailing Address10800 Magnolia AveRiverside, CA 92505-3043

Phone(714) 876-7482

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateApril 28, 2016

Last NPPES UpdateDecember 6, 2021

✔ NPI 1063867968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

10800 MAGNOLIA AVE, Riverside, CA 92505

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gregory Lee is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436581840

PECOS Enrollment IDI20191122000735

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAISER PERMANENTE

General Acute Care Hospital