JONATHAN GENE LEE FNP-BC NPI 1770090128

NPI Information

  • NPI: 1770090128
  • Provider Name: JONATHAN GENE LEE, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8692 9TH ST UNIT 24
    RANCHO CUCAMONGA, CA
    ZIP 91730
  • Phone: (909) 518-9673

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NPI Details

Jonathan Gene Lee, FNP-BC is a family nurse practitioner in Rancho Cucamonga, CA. Jonathan Gene Lee, FNP-BC NPI is 1770090128. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8692 9TH ST UNIT 24
RANCHO CUCAMONGA, CA
ZIP 91730-809
Phone: (909) 518-9673

The NPI 1770090128 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/8/2018 and was last updated on 1/8/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyNP95007695CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1NP95007695OTHERCALIFORNIACALIFORNIA BOARD OF REGISTERED NURSING - NURSE PRACTITIONER
22017030612OTHERANCC BOARD CERTIFICATION
3NPF95007695OTHERCALIFORNIACALIFORNIA BOARD OF REGISTERED NURSING - FURNISHING NUMBER
4661019OTHERCALIFORNIACALIFORNIA BOARD OF REGISTERED NURSING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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