NICHOLAS LEE
NPI 1689092140
Student in an Organized Health Care Education/Training Program in Orange, CA

Active since April 02, 2014PECOS EnrolledAccepts Medicare Assignment
101 THE CITY DR S, CITY TOWER, SUITE 400, ORANGE, CA 92868(714) 456-6693 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 1, 2021, Jun 17, 2020 (2 updates tracked since 2020).

About Nicholas Lee NPPES

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

NICHOLAS LEE (NPI 1689092140) is an individual student in an organized health care education/training program in Orange, California and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and is a graduate of Western University Of Health Sciences College Of Dental Med (2014).

NPPES Registry Identity

NPI1689092140
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNICHOLAS LEE
Location Address101 THE CITY DR S, CITY TOWER, SUITE 400Orange, CA 92868-3201
Mailing Address393 E Walnut St Fl 3, Phr Group Provider Enrollment UnitPasadena, CA 91188-0001 · (877) 608-0044 · Fax (877) 514-0903
Sole ProprietorNo
Medical School CMSWestern University Of Health Sciences College Of Dental MedGraduated 2014
Enumeration DateApril 2, 2014
Last NPPES UpdateDecember 1, 20212 updates tracked since enumeration
NPPES CertifiedJune 17, 2020
✔ NPI 1689092140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
101 THE CITY DR S, Orange, CA 92868

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

Nicholas 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 ID2264738970
PECOS Enrollment IDI20171019001595
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 Nicholas Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
441 N LAKEVIEW AVE
Anaheim, CA 92807
  • Reassigned Medicare billing, California enrollment
  • 13,921 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.

Radiology (Diagnostic Radiology)
101 THE CITY DR S
ORANGE, CA 92868
Obstetrics & Gynecology
101 THE CITY DR S, BUILDING 56, DEPARTMENT OF OB/GYN
ORANGE, CA 92868
Internal Medicine (Rheumatology)
101 THE CITY DR S
ORANGE, CA 92868
Plastic Surgery
101 THE CITY DR S
ORANGE, CA 92868
Emergency Medicine
101 THE CITY DR S, BUILDING 1A, ROOM 1009
ORANGE, CA 92868
Psychiatry & Neurology (Neurology)
101 THE CITY DR S, CITY TOWER, SUITE 400
ORANGE, CA 92868
Surgery (Trauma Surgery)
101 THE CITY DR S
ORANGE, CA 92868
Emergency Medicine
101 THE CITY DR S
ORANGE, CA 92868

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 Nicholas Lee's NPI number?

The NPI number for Nicholas Lee is 1689092140. It was assigned to this individual provider in the NPPES registry on April 2, 2014.

Where is Nicholas Lee located?

Nicholas Lee practices at 101 The City Dr S City Tower, Suite 400, Orange, CA 92868. The listed phone number is (714) 456-6693.

What is Nicholas Lee's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nicholas Lee enrolled in Medicare?

Yes. Nicholas 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 organization bills Medicare for Nicholas Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Lee reassigns Medicare benefits to Southern California Permanente Medical Group (Anaheim, 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 Nicholas 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 Nicholas Lee was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.