DR. TIMOTHY LEE M.D.
NPI 1730165903
General Practice in Northridge, CA

Active since December 20, 2005PECOS Enrolled
8510 BALBOA BLVD, SUTIE 150, NORTHRIDGE, CA 91325(818) 552-6230 Get Directions Write a Review

NPPES record last updated: April 3, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Timothy Lee M.d. NPPES

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

DR. TIMOTHY LEE M.D. (NPI 1730165903) is an individual general practice provider in Northridge, California, licensed in California (A72498) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730165903
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. TIMOTHY LEECredential: M.D.
Location Address8510 BALBOA BLVD, SUTIE 150Northridge, CA 91325-3583
Mailing Address8510 Balboa Blvd, Sutie 150Northridge, CA 91325-3583 · (818) 552-6230
Sole ProprietorNo
Enumeration DateDecember 20, 2005
Last NPPES UpdateApril 3, 2012
✔ NPI 1730165903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A72498
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
8510 BALBOA BLVD, Northridge, CA 91325

Other Identifiers 2

Medicare PINBD495YCA
Medicare UPINH55960CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Timothy Lee M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Timothy Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
8501 FALLBROOK AVE STE 300
West Hills, CA 91304
  • Reassigned Medicare billing, California enrollment
  • 205 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 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
8510 BALBOA BLVD, STE 150
NORTHRIDGE, CA 91325
Pharmacist
8510 BALBOA BLVD, SUITE 150
NORTHRIDGE, CA 91325
Social Worker (Clinical)
8510 BALBOA BLVD, STE 150
NORTHRIDGE, CA 91325
Internal Medicine
8510 BALBOA BLVD, STE 150
NORTHRIDGE, CA 91325
Emergency Medicine
8510 BALBOA BLVD, STE 150
NORTHRIDGE, CA 91325
Pharmacist
8510 BALBOA BLVD, 200
NORTHRIDGE, CA 91325
Internal Medicine
8510 BALBOA BLVD, STE 150
NORTHRIDGE, CA 91325
Pharmacist
8510 BALBOA BLVD
NORTHRIDGE, CA 91325

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 1730165903. It was assigned to this individual provider in the NPPES registry on December 20, 2005.

Where is Timothy Lee located?

Timothy Lee practices at 8510 Balboa Blvd Sutie 150, Northridge, CA 91325. The listed phone number is (818) 552-6230.

What is Timothy Lee's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Timothy Lee enrolled in Medicare?

Yes. Timothy Lee is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Timothy Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Lee reassigns Medicare benefits to Lakeside Medical Organization, A Medical Group Inc. (West Hills, 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 Timothy 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 Timothy Lee was last updated on April 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.