JASON GONG-FUNG LEE PA
NPI 1194316604
Physician Assistant - Medical in Rancho Cucamonga, CA

Q: What is Jason Lee's NPI number?

The NPI number for Jason Lee is 1194316604. It was assigned to this individual provider in the NPPES registry on January 27, 2021.

Q: What is Jason Lee's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Jason Lee was last updated on June 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 January 27, 2021PECOS EnrolledAccepts Medicare Assignment

9695 BASE LINE RD, RANCHO CUCAMONGA, CA 91730(909) 940-0920 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 10, 2024, Jun 7, 2024, Aug 14, 2023 and 2 more (5 updates tracked since 2021).

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About Jason Gong-fung Lee Pa NPPES

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

JASON GONG-FUNG LEE PA (NPI 1194316604) is an individual medical provider in Rancho Cucamonga, California, licensed in California (PA59315) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1194316604

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameJASON GONG-FUNG LEECredential: PA

Location Address9695 BASE LINE RDRancho Cucamonga, CA 91730-1314

Mailing Address9695 Base Line RdRancho Cucamonga, CA 91730-1314 · (626) 941-0920

Phone(909) 940-0920

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJanuary 27, 2021

Last NPPES UpdateJune 10, 20245 updates tracked since enumeration

NPPES CertifiedJune 10, 2024

✔ NPI 1194316604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in CA · PA59315

9695 BASE LINE RD, Rancho Cucamonga, CA 91730

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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

Jason Gong-fung Lee Pa 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 ID2466857024

PECOS Enrollment IDI20210819001072

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

34 services30 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

20 services20 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

19 services19 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

19 services18 patients

Other Providers at the Same Location NPPES 5

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

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