DR. JACKSON LEE
NPI 1669527289
Orthopaedic Surgery in Los Angeles, CA
About Dr. Jackson Lee NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACKSON LEE (NPI 1669527289) is an individual orthopaedic surgery provider in Los Angeles, California, licensed in California (G62123) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jackson Lee is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jackson Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90033
- Reassigned Medicare billing, California enrollment
- 2,445 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90033 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 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
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 Jackson Lee's NPI number?
The NPI number for Jackson Lee is 1669527289. It was assigned to this individual provider in the NPPES registry on January 24, 2007.
Where is Jackson Lee located?
Jackson Lee practices at 1520 San Pablo St 2000, Los Angeles, CA 90033. The listed phone number is (323) 442-5860.
What is Jackson Lee's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Jackson Lee enrolled in Medicare?
Yes. Jackson Lee is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jackson Lee's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jackson Lee reassigns Medicare benefits to Usc Care Medical Group, Inc (Los Angeles, 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 Jackson 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 Jackson Lee was last updated on March 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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. Jackson Lee · NPI 1669527289
Orthopaedic Surgery physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since January 24, 2007.
## Identity
- **NPI:** 1669527289 (Entity type: Individual)
- **Enumerated:** January 24, 2007
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** G62123 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1520 SAN PABLO ST, 2000, Los Angeles, CA 90033-5310
- **Phone:** (323) 442-5860
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Usc Care Medical Group, Inc (NPI 1902846306, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 2, 2015
- **Other identifiers:** Medicare ID-Type Unspecified W809A (CA); Medicare ID-Type Unspecified W809B (CA); Medicare ID-Type Unspecified W809F (CA); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1669527289) · Data from the CMS NPPES public registry.