Active NPI
Rachel Minjoo Lee, FNP
- Family Nurse Practitioner
- Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95030995
- Practice address
- 625 S Fair Oaks Ave Ste 215
Pasadena, CA 91105-2613 - Phone
- (626) 793-4139
- Fax
- (626) 793-4324
- NPI assigned
- Jul 12, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95030995 | CA | Primary |
Addresses
Primary practice location
625 S Fair Oaks Ave Ste 215
Pasadena, CA 91105-2613
Mailing address
PO Box 80011
City of Industry, CA 91716-8011
Phone (626) 793-2885
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP95030995 | Other | CA | BRN |
| 2024063572 | Other | CA | ANCC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
625 S Fair Oaks Ave
Suite 215
Pasadena, CA 91105-2613
Phone (626) 793-4139
Hospital & facility affiliations
- Huntington Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95030995 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foothill Cardiology Medical Group Inc | Current | Accepting new patients |
Locations
625 S Fair Oaks Ave
Ste 215
Pasadena, CA 91105
Phone (626) 793-4139
Interoperability endpoints
- rlee514313@direct.cshs.org
- rachel.lee.p166@direct.healthcarepartners.nextgenshare.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Pasadena, CA
- NPI 1255382545
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pasadena, CA
- NPI 1407828429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1124865530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 80011",
"city": "CITY OF INDUSTRY",
"state": "CA",
"postal_code": "917168011",
"telephone_number": "626-793-2885",
"fax_number": "626-793-6262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 S FAIR OAKS AVE STE 215",
"city": "PASADENA",
"state": "CA",
"postal_code": "911052613",
"telephone_number": "626-793-4139",
"fax_number": "626-793-4324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "RACHEL",
"middle_name": "MINJOO",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-12",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95030995",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRN",
"identifier": "NP95030995",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANCC",
"identifier": "2024063572",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.