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Deactivated NPI 1417417627 Deactivated / Inactive NPI Male Practitioner

Daniel Lee

Physician Assistant • Pomona, CA

✓ Accepts Medicare Assignment Telehealth Available
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Daniel Lee has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 22, 2019
NPI Deactivation Date June 09, 2024
Total Practice Duration ~1 Years of Practice (2024 – 2024)

Professional Overview & Biography Verified Profile Summary

Daniel Lee was a registered Physician Assistant in Pomona, CA. Prior to record deactivation on 2024-06-09, Daniel Lee completed approximately 1 years of clinical practice following graduation from University Of Florida College Of Medicine in 2024.

Daniel Lee was affiliated with Premier Orthopaedic Trauma Specialists Pmc and accepted Medicare assignment . Telehealth and virtual consultation options were offered for eligible patients.

Practice Location & Contact Primary Location

Practice Address

160 E Artesia St Ste 255

Pomona, CA 917672921

Telephone 9095964346
Fax 9095964344
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of Florida College Of Medicine

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Pomona, CA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -7.1 yrs vs City Avg
City Avg: 9.1 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
186 Specialists

Practicing in Pomona, CA (14617 Statewide)

Telehealth Adoption Rate
8.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lee (2 Years) 2 Yrs
Pomona Specialty Average (9.1 Years) 9.1 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-01-07
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

Hospital & Practice Group Affiliations

Premier Orthopaedic Trauma Specialists Pmc

4445 Magnolia Ave, Riverside, CA 925014135

Phone: 9517883000

Premier Orthopaedic Trauma Specialists Pmc

160 E Artesia St, Pomona, CA 917672921

Phone: 9095964346

Premier Orthopaedic Trauma Specialists Pmc

999 San Bernardino Rd, Upland, CA 917864920

Phone: 9099852811

Secondary Practice Locations

2140 Grand Ave Ste 120

Chino Hills, CA 917096801

Phone: 9095964346

400 N Mountain Ave Ste 100

Upland, CA 917865194

Phone: 9095964346

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Dr. Joseph Liu , MD

Orthopaedic Surgery - Sports Medicine

NPI 1154689248

Doctor of Medicine (M.D.)

Amanda Ballard , PA-C

Physician Assistant

NPI 1164983375

Physician Assistant (Certified)

Ethan Du

Occupational Therapy Assistant

NPI 1215854781
Dr. James Atkins , DPT

Physical Therapist - Orthopedic

NPI 1225700321

Doctor of Physical Therapy

Benjamin Thomson , PA-C

Physician Assistant

NPI 1265147201

Physician Assistant (Certified)

Sydnee Krattenmaker

Physical Therapist

NPI 1295689172

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location January 07, 2025

Registered at 160 E ARTESIA ST STE 255, POMONA, CA 917672921 (Tel: 9095964346)

📍
Updated Business Mailing Address January 07, 2025

Registered at 1340 STEELY, IRVINE, CA 926140919

📍
Updated Practice Location July 23, 2024

Registered at 1120 W LA VETA AVE, ORANGE, CA 928684231 (Tel: 7143325505)

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Updated Business Mailing Address July 23, 2024

Registered at 429 OZARK TRL, LEANDER, TX 786414517

👤
Provider Name / Credentials Updated July 23, 2024

Recorded as DANIEL LEE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2024

Physician Assistant

⚠️
NPI Profile Deactivated June 09, 2024

Record deactivated on June 09, 2024

NPI Profile Active March 22, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location March 22, 2019

Registered at 27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 483345326 (Tel: 2484364400)

📍
Updated Business Mailing Address March 22, 2019

Registered at 27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 483345326

👤
Provider Name / Credentials Updated March 22, 2019

Recorded as DANIEL LEE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2019

Behavior Technician

🟢
Initial NPI Registration & Enumeration March 22, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417417627
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2019
Last Update: January 07, 2025
Deactivation Date: June 09, 2024
Sole Proprietor: No

Mailing Address

1340 Steely

Irvine, CA 926140919

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.