DR. BONNY LEE MD
NPI 1255750568
Radiology - Diagnostic Radiology in Los Angeles, CA
About Dr. Bonny Lee Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BONNY LEE MD (NPI 1255750568) is an individual diagnostic radiology provider in Los Angeles, California, licensed in California (A162786) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Eastern Virginia Medical School (2014).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Bonny Lee Md 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.
Medicare Billing Reassignments
8Medicare enrollment records show Bonny Lee reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90095
- Reassigned Medicare billing, California enrollment
- 240 clinicians in this Medicare group
Glendale, CA 91201
- Reassigned Medicare billing, California enrollment
- 273 clinicians in this Medicare group
Glendale, CA 91204
- Reassigned Medicare billing, California enrollment
- 181 clinicians in this Medicare group
Los Angeles, CA 90059
- Reassigned Medicare billing, California enrollment
- 554 clinicians in this Medicare group
San Diego, CA 92103
- Reassigned Medicare billing, California enrollment
- 360 clinicians in this Medicare group
Santa Clara, CA 95051
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Antioch, CA 94531
- Reassigned Medicare billing, California enrollment
- 86 clinicians in this Medicare group
Walnut Creek, CA 94598
- Reassigned Medicare billing, California enrollment
- 810 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.
Areas of Expertise CMS Part B claims 16
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90095 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
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 Bonny Lee's NPI number?
The NPI number for Bonny Lee is 1255750568. It was assigned to this individual provider in the NPPES registry on April 15, 2014.
Where is Bonny Lee located?
Bonny Lee practices at 757 Westwood Plz, Los Angeles, CA 90095. The listed phone number is (310) 301-6800.
What is Bonny Lee's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Bonny Lee enrolled in Medicare?
Yes. Bonny Lee is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Bonny Lee's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bonny Lee reassigns Medicare benefits to 8 organizations: Ucla Radiology Medical Group (Los Angeles, CA), Regents Of The University Of California (Glendale, CA), Bay Imaging Consultants Medical Group (Glendale, CA), Martin Luther King Jr Community Medical Foundation (Los Angeles, CA), Regents Of The University Of California (San Diego, CA) and 3 more organizations, listed in the Medicare section above. Each 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 Bonny 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 Bonny Lee was last updated on June 17, 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.
# Dr. Bonny Lee, MD · NPI 1255750568
Diagnostic Radiology physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since April 15, 2014.
## Identity
- **NPI:** 1255750568 (Entity type: Individual)
- **Enumerated:** April 15, 2014
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** A162786 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 757 WESTWOOD PLZ, Los Angeles, CA 90095-9000
- **Phone:** (310) 301-6800
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Ucla Radiology Medical Group (NPI 1881670248, Los Angeles, CA); Regents Of The University Of California (NPI 1891110888, Glendale, CA); Bay Imaging Consultants Medical Group (NPI 1780154153, Glendale, CA); Martin Luther King Jr Community Medical Foundation (NPI 1356899777, Los Angeles, CA); Regents Of The University Of California (NPI 1558463927, San Diego, CA); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Eastern Virginia Medical School, class of 2014
## Record status
- **NPPES last updated:** June 17, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1255750568) · Data from the CMS NPPES public registry.