Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jonathan Wen Lee, PA-C

Individual provider Physician Assistant · NPI 1710652904

Jonathan Wen Lee, PA-C is a Physician Assistant in Redlands, California. Qualified in 2021, 5 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

245 Terracina Blvd
Redlands, CA 92373-4852
Phone: (909) 335-0201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 18145 Us Highway 18 Ste D, Apple Valley, CA 92307-2210 — (760) 946-0020

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA59867 (CA)

Record details

NPI number1710652904
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 10, 2021
Last updated in NPPESDecember 30, 2024
Certification dateMay 17, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Redlands