Individual provider

Bonnie Lee, M.D.

Dermatopathology Physician Dermatology Physician Medicare enrolled

Bonnie Lee, M.D. is a Dermatopathology Physician in Orange, CA, registered under NPI 1417164492. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 101 THE CITY DR S, Orange, CA 92868. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

101 THE CITY DR S, Orange, CA 92868 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
A111736 CA Dermatopathology Physician primary
256888 NY Dermatology Physician
A111736 CA Dermatology Physician
256888 NY Dermatopathology Physician

Licences are recorded in 2 states: CA, NY. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Dermatology
PAC ID
5092996314
Enrollment ID
I20190909001834

Medicare enrolment is recorded as approved under the provider type Practitioner - Dermatology. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: California and New York. The practice address on file is in Orange, CA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

CA California practice address
Licence
A111736
Specialty
Dermatopathology Physician
Verify with the CA board →
NY New York
Licence
256888
Specialty
Dermatology Physician
Verify with the NY board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Dermatopathology covers

A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. NUCC Health Care Provider Taxonomy, code 207ND0900X
Allopathic & Osteopathic Physicians Dermatology Dermatopathology

All registered taxonomy codes

This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207ND0900X Dermatopathology Physician Dermatopathology A111736 CA primary
207N00000X Dermatology Physician 256888 NY
207N00000X Dermatology Physician A111736 CA
207ND0900X Dermatopathology Physician Dermatopathology 256888 NY

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1417164492 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 17, 2007
Last updatedMar 7, 2023
StatusActive
Sole proprietorNo
CredentialM.D.
Practice address 101 THE CITY DR S
Orange, CA 92868
(714) 456-7002
Mailing address 200 S MANCHESTER AVE STE 300
Orange, CA 92868
The last update on file is Mar 7, 2023. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1417164492 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 4 1 7 1 6 4 4 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 4 2 7 2 6 8 4 9

Sum = 68 · next multiple of 10 = 70 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1417164492?
NPI 1417164492 is the National Provider Identifier assigned to Bonnie Lee, M.D. in Orange, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Dermatopathology cover?
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and…
How do I contact Bonnie Lee, M.D.?
The phone number on file with NPPES is (714) 456-7002, last updated Mar 7, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Bonnie Lee, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1417164492 a valid number?
Yes. 1417164492 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.