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TIMOTHY WONG SUNG LEE
NPI 1356026405
Nurse Practitioner - Family in Loma Linda, CA

Active since June 16, 2023PECOS EnrolledAccepts Medicare Assignment
11448 LOMA LINDA DR, LOMA LINDA, CA 92354(301) 821-3477 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 12, 2024, Jun 16, 2023 (2 updates tracked since 2023).

About Timothy Wong Sung Lee NPPES

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

TIMOTHY WONG SUNG LEE (NPI 1356026405) is an individual family provider in Loma Linda, California, licensed in California (95023451) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Bernardino, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1356026405
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTIMOTHY WONG SUNG LEE
Location Address11448 LOMA LINDA DRLoma Linda, CA 92354-3744
Mailing Address3660 Park Sierra Dr Ste 203Riverside, CA 92505-3071 · (951) 687-3400 · Fax (951) 687-7630
Phone(301) 821-3477
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJune 16, 2023
Last NPPES UpdateSeptember 12, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2024
✔ NPI 1356026405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95023451
11448 LOMA LINDA DR, Loma Linda, CA 92354
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Secondary Practice Location 1

Location 1401 E Highland Ave Ste 551San Bernardino, CA 92404-3840 · Phone (909) 882-9150 · Fax (909) 883-8972

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

Timothy Wong Sung 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 ID5597115147
PECOS Enrollment IDI20231222002360
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92354 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Timothy Lee's NPI number?

The NPI number for Timothy Lee is 1356026405. It was assigned to this individual provider in the NPPES registry on June 16, 2023.

Where is Timothy Lee located?

Timothy Lee practices at 11448 Loma Linda Dr, Loma Linda, CA 92354. The listed phone number is (301) 821-3477.

What is Timothy Lee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Timothy Lee enrolled in Medicare?

Yes. Timothy 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.

When was this NPI record last updated?

The NPPES record for Timothy Lee was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.