1. Home
  2. Directory
  3. California
  4. San Bernardino
  5. Podiatrist
  6. NPI Profile

DR. SANG DAE LEE DPM
NPI 1780694356
Podiatrist - Foot & Ankle Surgery in San Bernardino, CA

Active since August 08, 2006PECOS EnrolledAccepts Medicare Assignment
2095 N WATERMAN AVE, SAN BERNARDINO, CA 92404(909) 882-3800(909) 882-3380 Get Directions Write a Review

NPPES record last updated: September 11, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Sang Dae Lee Dpm NPPES

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

DR. SANG DAE LEE DPM (NPI 1780694356) is an individual foot & ankle surgery provider in San Bernardino, California, licensed in California (E4416) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of California School Of Podiatric Medicine (2000).

NPPES Registry Identity

NPI1780694356
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. SANG DAE LEECredential: DPM
Location Address2095 N WATERMAN AVESan Bernardino, CA 92404-4834
Mailing Address467 Redtail DrBrea, CA 92823-1040 · (909) 882-3800
Phone(909) 882-3800
Fax(909) 882-3380
Sole ProprietorYes
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 2000
Enumeration DateAugust 8, 2006
Last NPPES UpdateSeptember 11, 2009
✔ NPI 1780694356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in CA · E4416
2095 N WATERMAN AVE, San Bernardino, CA 92404
Open in Google Maps ↗

Other Identifiers 4

Medicaid0253335CA
Medicaid000E44161CA
OtherP00147789CA · Railroad
Medicare ID-Type Unspecified000E44162CA

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

Dr. Sang Dae Lee Dpm 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 ID7719888254
PECOS Enrollment IDI20040116000731
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 Sang Lee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

San Bernardino Foot Clinic, Inc.
Same address
Foot & Ankle Surgery
2095 N WATERMAN AVE
San Bernardino, CA 92404
  • Reassigned Medicare billing, California enrollment
NPI 1154352037 (909) 882-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
615 services262 patients
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.
142 services98 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
116 services116 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
61 services29 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
42 services42 patients
Permanent removal fingernail or toenail 11750
Permanent removal of a fingernail or toenail, also known as avulsion, is a procedure performed to treat nail infections or severe ingrown nails. The nail is carefully removed under local anesthesia. After removal, a chemical is applied to prevent nail regrowth, ensuring the issue does not recur.
21 services19 patients

Other Providers at the Same Location NPPES

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

SAN BERNARDINO FOOT CLINIC, INC.
Podiatrist (Foot & Ankle Surgery)
2095 N WATERMAN AVE
SAN BERNARDINO, CA 92404
San Bernardino County (909) 882-3800

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 Sang Lee's NPI number?

The NPI number for Sang Lee is 1780694356. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Sang Lee located?

Sang Lee practices at 2095 N Waterman Ave, San Bernardino, CA 92404. The listed phone number is (909) 882-3800.

What is Sang Lee's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Sang Lee enrolled in Medicare?

Yes. Sang 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 Sang Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sang Lee reassigns Medicare benefits to San Bernardino Foot Clinic, Inc. (San Bernardino, 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 Sang 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 Sang Lee was last updated on September 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.