DR. CLARENCE MARCUS JR. LEE (M.D.) – Aerospace Medicine Physician, NPI 1144520032

DR. CLARENCE MARCUS JR. LEE (M.D.) is a healthcare provider. based in La jolla, California. specializing in GENERAL PRACTICE, PREVENTIVE MEDICINE. They hold the professional credentials M.D.. They hold a License No. A138879 (CA). The NPI Number for DR. CLARENCE MARCUS JR. LEE (M.D.) is 1144520032

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. CLARENCE MARCUS JR. LEE (M.D.)
NPI
1144520032
Phone
(442) 244-8347
Address
4130 La Jolla Village Dr Ste 200
Enumeration Date
26 October 2010
Last Update Date
14 May 2025

Doctor Profile

Medical School Name
DREXEL UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
7607289560
Graduation Year
2006 (20 years ago)
PAC ID
7315247715
Group Practice PAC ID
2961305651
Professional Enrollment ID
I20220119000735
Address ID
CA920283082FA521XXSTXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:15State licenses:1Digital endpointsOther names

1,034 GENERAL PRACTICE in CA

Provider Addresses for DR. CLARENCE MARCUS JR. LEE (M.D.)

  • 4130 La Jolla Village Dr Ste 200

    LA Jolla, CA 920371480

    Phone: (442) 244-8347

    Type: Location

  • 20072 SW Birch St Ste 100

    Newport Beach, CA 926600794

    Phone: (949) 757-1150

    Type: Location

  • 5643 Copley Dr Ste 101

    San Diego, CA 921117903

    Phone: (858) 392-8381

    Type: Location

  • 15301 WARREN SHINGLE RD

    BEALE AFB, CA 959031907

    Phone: (530) 634-4730

    Type: Mailing

  • 6125 PASEO DEL NORTE STE 130

    CARLSBAD, CA 920111119

    Phone: (442) 244-8347

    Fax: (760) 683-0470

    Type: Mailing

  • 31150 Temecula Pkwy Ste 101

    Temecula, CA 925922921

    Phone: (951) 383-2618

    Type: Location

  • 727 W SAN MARCOS BLVD STE 112

    SAN MARCOS, CA 920781244

    Phone: (530) 634-4730

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2023-02-21 • Largest payer in this snapshot: VBI Vaccines (Delaware) Inc. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-01-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220119000735IPreventive MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92037)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961305651View full group profile
NameSpecialtyState
Diagnostic RadiologyCA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CT
Diagnostic RadiologyCA
Cardiovascular Disease (Cardiology)MO
G A S T R O E N T E R O L O G YCA
Certified Registered Nurse Anesthetist (Crna)CA
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineCA

Reviews

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Frequently asked questions

Where can patients find DR. CLARENCE MARCUS JR. LEE (M.D.)'s NPI?
You can confirm DR. CLARENCE MARCUS JR. LEE (M.D.) with NPI 1144520032; it appears in the national provider directory.
Is DR. CLARENCE MARCUS JR. LEE (M.D.) active in the national directory?
DR. CLARENCE MARCUS JR. LEE (M.D.)'s public NPI profile is in an active state.
What field does DR. CLARENCE MARCUS JR. LEE (M.D.) work in?
You can think of DR. CLARENCE MARCUS JR. LEE (M.D.) as practicing within Aerospace Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. CLARENCE MARCUS JR. LEE (M.D.) practice in California?
You will see La Jolla, California on file for DR. CLARENCE MARCUS JR. LEE (M.D.) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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