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EDMOND LEE DPM, INC.
NPI 1194025957
Podiatrist in Monterey Park, CA

Active since October 27, 2010
500 N GARFIELD AVE STE 305, MONTEREY PARK, CA 91754(626) 703-4188(213) 617-3144 Get Directions Write a Review

NPPES record last updated: January 17, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 17, 2021, Feb 27, 2020 (2 updates tracked since 2020).

About Edmond Lee Dpm, Inc. NPPES

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

EDMOND LEE DPM, INC. (NPI 1194025957) is a healthcare organization registered as a podiatrist in Monterey Park, California and active in the NPI registry since October 2010. The organization maintains a secondary practice location in Los Angeles and lists Kadie Lee, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1194025957
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameEDMOND LEE DPM, INC.
Location Address500 N GARFIELD AVE STE 305Monterey Park, CA 91754-1242
Mailing Address500 N Garfield Ave Ste 305Monterey Park, CA 91754-1242 · (626) 703-4188 · Fax (213) 617-3144
Phone(626) 703-4188
Fax(213) 617-3144
Organization SubpartNo
Authorized OfficialKadie LeeAuthorized Official · (909) 979-4493
Enumeration DateOctober 27, 2010
Last NPPES UpdateJanuary 17, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2021
✔ NPI 1194025957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedClinic/Center · PodiatricTaxonomy 261QP1100X
500 N GARFIELD AVE STE 305, Monterey Park, CA 91754
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Secondary Practice Location 1

Location 1531 W College St Fl 2Los Angeles, CA 90012-2315 · Phone (213) 620-8702 · Fax (213) 617-3144

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)

Edmond Lee Dpm, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 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 IDO20110104000029Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 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 Edmond Lee DPM, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Edmond Lee, D.P.M.
Podiatry
NPI 1174552541
500 N GARFIELD AVE STE 305
Monterey Park, CA 91754
(626) 703-4188
✔ PECOS✔ Accepts MedicareSame 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 Edmond Lee Dpm, Inc.'s NPI number?

The NPI number for Edmond Lee Dpm, Inc. is 1194025957. It was assigned to this organization in the NPPES registry on October 27, 2010.

Where is Edmond Lee Dpm, Inc. located?

Edmond Lee Dpm, Inc. is located at 500 N Garfield Ave Ste 305, Monterey Park, CA 91754. The listed phone number is (626) 703-4188.

What is Edmond Lee Dpm, Inc.'s specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Edmond Lee Dpm, Inc. enrolled in Medicare?

Yes. Edmond Lee Dpm, Inc. is registered in the Medicare PECOS enrollment system.

When is Edmond Lee Dpm, 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 November 30, 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 Edmond Lee Dpm, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Edmond Lee Dpm, 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 Edmond Lee Dpm, Inc. was last updated on January 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.