JONATHAN LEE
NPI 1609329424
Physician Assistant in Pomona, CA

Active since July 28, 2016PECOS EnrolledAccepts Medicare Assignment
1555 S GAREY AVE, POMONA, CA 91766(909) 620-8088 Get Directions Write a Review

NPPES record last updated: May 11, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 11, 2021, Oct 17, 2016 (2 updates tracked since 2016).

About Jonathan Lee NPPES

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

JONATHAN LEE (NPI 1609329424) is an individual physician assistant in Pomona, California, licensed in California (53476) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1609329424
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJONATHAN LEE
Location Address1555 S GAREY AVEPomona, CA 91766-5222
Mailing Address325 Distel CirLos Altos, CA 94022-1408
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 28, 2016
Last NPPES UpdateMay 11, 20212 updates tracked since enumeration
NPPES CertifiedMay 11, 2021
NPI 1609329424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · 53476
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1555 S GAREY AVE, Pomona, CA 91766

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

Jonathan 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 ID9133415318
PECOS Enrollment IDI20160914002341
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 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
87 services76 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.
81 services67 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91766 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Clinic/Center (Federally Qualified Health Center (FQHC))
1555 S GAREY AVE
POMONA, CA 91766
Clinic/Center (Federally Qualified Health Center (FQHC))
1555 S GAREY AVE
POMONA, CA 91766
Registered Nurse
1555 S GAREY AVE
POMONA, CA 91766
Registered Nurse
1555 S GAREY AVE
POMONA, CA 91766
Registered Nurse
1555 S GAREY AVE
POMONA, CA 91766
Marriage & Family Therapist
1555 S GAREY AVE
POMONA, CA 91766
Social Worker (Clinical)
1555 S GAREY AVE
POMONA, CA 91766
Social Worker (Clinical)
1555 S GAREY AVE
POMONA, CA 91766

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609329424, enumerated as an "individual" on July 28, 2016.

The provider is located at 1555 S GAREY AVE POMONA, CA 91766 and the phone number is (909) 620-8088.

Physician Assistant with taxonomy code 363A00000X.