DINEYTRA RENE LEE
NPI 1245631837
Counselor - Professional in San Bernardino, CA

Active since September 15, 2014PECOS Enrolled
742 W HIGHLAND AVE, SAN BERNARDINO, CA 92405(909) 881-7320(909) 881-7330 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 13, 2023, Apr 21, 2020, Apr 14, 2020 and 1 more (4 updates tracked since 2018).

About Dineytra Rene Lee NPPES

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

DINEYTRA RENE LEE (NPI 1245631837) is an individual professional provider in San Bernardino, California, licensed in California (LPCC13944) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1245631837
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDINEYTRA RENE LEE
Location Address742 W HIGHLAND AVESan Bernardino, CA 92405-3839
Mailing Address742 W Highland AveSan Bernardino, CA 92405-3839 · (909) 881-7320 · Fax (909) 881-7330
Fax(909) 881-7330
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 15, 2014
Last NPPES UpdateJune 11, 20264 updates tracked since enumeration
NPPES CertifiedJune 11, 2026
✔ NPI 1245631837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in CA · LPCC13944✔ Licensed in CA · APCC3976
742 W HIGHLAND AVE, San Bernardino, CA 92405

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dineytra Rene Lee is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749753135
PECOS Enrollment IDI20260626001866
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.

Medicare Billing Reassignment

Medicare enrollment records show Dineytra Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Obstetrics & Gynecology
14980 SUMMIT AVE STE 230
Fontana, CA 92336
  • Reassigned Medicare billing, California enrollment
  • 49 clinicians in this Medicare group

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

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.

Internal Medicine
742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405
Physician Assistant (Medical)
742 W HIGHLAND AVE
SAN BERNRDINO, CA 92405
Family Medicine
742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405
Nurse Practitioner (Family)
742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405
Nurse Practitioner
742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405
Nurse Practitioner (Family)
742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405
Psychiatry & Neurology (Psychiatry)
742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405
Pediatrics
742 W HIGHLAND AVE
SAN BERNARDINO, CA 92405

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 Dineytra Lee's NPI number?

The NPI number for Dineytra Lee is 1245631837. It was assigned to this individual provider in the NPPES registry on September 15, 2014.

Where is Dineytra Lee located?

Dineytra Lee practices at 742 W Highland Ave, San Bernardino, CA 92405. The listed phone number is (909) 881-7320.

What is Dineytra Lee's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Dineytra Lee enrolled in Medicare?

Yes. Dineytra Lee is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dineytra Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dineytra Lee reassigns Medicare benefits to San Marcos Medical Group Inc (Fontana, CA). The 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 Dineytra Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dineytra Lee was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.