MT MESA MEDICAL GROUP – NPI #1629081997
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

MT MESA MEDICAL GROUP is a provider located in LAKE ISABELLA, CA. NPPES has assigned the NPI number 1629081997 to MT MESA MEDICAL GROUP on August 15, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MT MESA MEDICAL GROUP” is a dba name, the actual legal business name for this organization is JAIME S. LEE HO MD INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 18 years ago on Sep 03, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MT MESA MEDICAL GROUP below.

NPI Profile for
JAIME S. LEE HO MD INC.

NPI Number
1629081997
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
JAIME S. LEE HO MD INC.
Doing Business As (dba): MT MESA MEDICAL GROUP
Primary location
4308 BIRCH STREET
LAKE ISABELLA, CA 93240
Phone: (760) 379-2426 Fax: (760) 379-2664
Mailing address
PO BOX 1898
4308 BIRCH STREET
LAKE ISABELLA, CA 93240-1898
Phone: (760) 379-2426 Fax: (760) 379-2664
Organization Subpart
No
Authorized Official
JAIME LEE HO
PRESIDENT/PHYSICIAN
Phone: (760) 379-2426
Updated
Identifiers

Identifiers for MT MESA MEDICAL GROUP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCAGR0022310
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)		 CA A24547
207R00000X
- Internal Medicine		 CA G43717

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.